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Engage patients by phone, develop personalized care plans, coordinate community resources, and manage psychosocial and financial outcomes for patients covered by value-based contracts. Provide emotional support, facilitate advance care planning, identify social barriers to care, coordinate continuity with external healthcare organizations, and support patients’ self-management of medical and psychosocial needs.
Summary
Job Description:
Baptist Health Medical Group is looking for a Social Worker (MSW) to join our team! This is a remote work position that requires residency in KY or IN
The Ambulatory Social Worker is a non-clinical social work position responsible for the case management of Baptist Health patients attributed to value-based contracts, which includes patients in the clinically integrated network and accountable care organization as well as patients identified with social determinants of health barriers to care. The Ambulatory Social Worker is responsible for engaging patients through telephonic outreach who have been identified for social work services, developing a personalized plan of care, ensuring coordination of community resources, and managing individualized psychosocial and financial outcomes.
The Ambulatory Social Worker provides emotional support services to patients and their families, facilitates conversations regarding Advanced Care Planning, identifies social determinants of health barriers to care, facilitates community resource networking to address identified needs, coordinates continuity of patient care with external healthcare organizations and facilities, and supports patient self-management of medical and psychosocial care needs.
Qualifications:
Position Details:
Monday through Friday
8am to 4:30pm
Remote/Work from Home
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