Licensed Independent Social Worker (LISW)

Come reimagine care with us! We’re on a mission to change the way medical care is delivered around the country. By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe’s primary care services are delivered by a team of licensed clinicians in the comfort of the patient’s home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care.

WellBe’s clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care. Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day.

Why WellBe?

• Be part of something important: Pioneer a new way of healthcare that is revolutionizing the industry. A patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days.
• Give yourself incredible opportunities: Growth and development opportunities across expanding markets in the company and celebrate success on a global scale. Training in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals.
• Respect and trust for how you work and how you make a difference. Work as part of a collaborative team with a strong team culture.
• You own your role, contribute to the team, and feel the enormous impact on lives.
• Leadership that listens, trusts, empowers, and supports.
• Empowerment and ownership for solving problems that arise and doing the right thing in each interaction.

Responsibilities

• Practice the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most Complete Care.
• Perform psychosocial assessments and provide therapeutic services to patients and their families.
• Work closely with Behavioral Health Medical Director to manage complex patient cases and transitions of care.
• Serve as a resource for the WellBe communities in managing complex Behavioral Health cases.
• Manage complex behavioral and psychosocial needs that result in improved clinical and financial outcomes.
• Maintain constant communication with patients when addressing their concerns and goals and helping them keep positive attitudes.
• Build rapport with patients and their families and relay all concerns to WellBe provider/IDT.
• Assist members to effectively utilize available resources to meet their personal health goals and help them develop their own capabilities.
• Monitor patient progress and adjust patient treatment plan as needed.
• Coordinate with other healthcare providers, agencies, and community resources to create a thorough treatment plan addressing social, cultural, and financial needs.
• Collaborate with the interdisciplinary team and participate in regularly scheduled team meetings.
• Ensure compliance with regulatory agencies and WellBe clinical guidelines.
• Partner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.
• Involve the patients’ families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.
• Effectively collaborate with all those involved in the members’ care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients’ care goals.
• Consult with and advise the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community.
• Comply with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Take necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors, and others.
• Consistently meet or exceed WellBe targets for productivity, customer service, quality assessment, and performance targets.
• Maintain current written progress notes and other documentation on the member Medical Record including signed and dated documentation for all service performed the day the service is provided.
• Participate in program and policy development of the WellBe Social Work program.
• Perform other tasks needed to accomplish team’s objectives/goals.

Requirements

• Master’s Degree in Social Work.
• 5+ years clinical social work experience with the geriatric population.
• Two years social work experience, preferably in health care, and minimum one-year experience working with a frail/elderly population.
• Current unrestricted LCSW license in applicable state(s) required.
• Age-specific competency in working with the elderly and knowledge of community services for the elderly and their families.
• Ability to make psychosocial assessments and develop and implement viable care plans.
• Familiarity with EHR medical documentation.
• Strong computer skills, including Word, Excel, and PowerPoint.
• Strong verbal, written, presentation, and interpersonal communication skills.
• Bilingual in English/Spanish preferred.
• Ability to work effectively in a team environment.
• Knowledge of social work principles and practices, including case management and counseling techniques.
• Ability to empathize with clients.
• Ability to provide after-hours services as needed.
• Ability to leverage internal and external resources as part of a patient’s treatment plan.
• Experience writing assessments and reports to monitor client progress.
• Valid driver’s license, access to a car, and willingness to drive to patient homes/patient location, as well as an active auto insurance policy.

Benefits

• Rich and competitive total rewards package including health benefits, dental, vision, life insurance, dependent care reimbursement, STD/LTD, 401k match with immediate vesting, paid time off / floating holidays.
• Commuter/transportation (mileage) reimbursement.
• Educational reimbursement.
• The opportunity to work with a progressive company, who is making a difference each day with every patient.

Pay

$80,000-95,000 / annually

Schedule

• Full-time permanent, work seeing patients in their home, traveling around to other home locations.
• Work during the daytime, flexible schedule, and on-call rotation.

Additional Information

• Travel may be required up to 80% locally.
• Ability to lift up to 20 lbs. Moving, lifting, or transferring of patients may involve lifting of up to 50 lbs as well as assist with weights of more than 100 lbs.
• Ability to stand for extended periods.
• Ability to drive to patient locations (i.e., home, hospital, SNF, etc.).
• Fine motor skills/Visual acuity.
• WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.
• As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing.
• Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations.