POSITION DESCRIPTION

North American Medical Management, California, Inc. (NAMM California) partnered with OptumHealth in 2012. NAMM California and OptumHealth share a common goal of bringing patients, physicians, hospitals and payers closer together in the mission to increase the quality, efficiency and affordability of care. NAMM California is a part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. NAMM California develops and manages provider networks, offering a full range of services to assist physicians and other providers in supporting patient care coordination and their managed care business operations. For over 18 years, NAMM California has been an innovator in health care with a track record for quality, financial stability, extraordinary services and integrated medical management programs. NAMM California is well positioned to continually invest in its infrastructure and systems for the benefit of its provider clients and to accommodate the impending changes that will come forth from healthcare reform. The NAMM California provider clients represent a network of almost 600 primary care physicians and over 3,000 specialists and work with the premier hospitals in their respective markets. North American Medical Management, California, Inc. (NAMM) develops and manages clinician networks, offering a full range of services to assist physicians and other clinicians in their managed care and business operations. For over 17 years, NAMM has been an innovator in health care with a track record for quality, financial stability, extraordinary services and superior electronic capabilities. Prime Care Medical Network is a key affiliate.

PRIMARY RESPONSIBILITIES:

• Develop and maintain social service program, drafting supporting policies, procedures, and guidelines for the program
• Telephonically assess patient's psychosocial status
• Communicates with physicians to report patient progress, needs, concerns, and potential and actual problems
• Works closely with all members of the healthcare team in development of the plan of treatment based on psychosocial assessment and accepted social work interventions
• Provide social work services including, short - term counseling, community resource planning, and crisis intervention
• Acts as a resource person for other members of the healthcare team
• Develops and maintains through knowledge of referral resources throughout the service area
• Report to NAMM Case Management Nurse variances in patient's condition, medications, or treatment
• Telephonically monitor patient on a regular basis in regards to psychosocial needs, education, and compliance with treatment plan
• Maintains up to date knowledge of Medicare, Medical, and other third party reimbursement sources
• Provides positive customer relations in dealing with patients, families, physicians, team members, hospital departments, referral resources, service agencies and others.
• Refer to health education and other service departments as necessary
• Complete all required documentation in a timely manner according to department policy
• Refer patient to outside community resources, classes, education, etc. as appropriate
• Case closure as appropriate
• Collect data necessary for NAMM Case Management reports / QI studies
• Attend NAMM Case Management meeting and trainings as appropriate

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. REQUIRED QUALIFICATIONS:

• Graduate of an accredited Master's degree social work program
• MSW or LCSW
• 2+ years of clinical experience with broad range of experience in health care delivery setting (hospital, clinic, physician's office)
• At least one year of social work experience in a healthcare setting
• Computer knowledge and proficiency
• Access to reliable means of transportation to travel in designated area

PREFERRED QUALIFICATIONS:

• Excellent interpersonal and communication skills (both written and oral).
• Strong critical thinking and decision - making skills
• Ability to work in a nurse managed, multi - disciplinary team

Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. It's truly an opportunity to do your life's best work.(sm) North American Medical Management, California, Inc. (NAMM) develops and manages clinician networks, offering a full range of services to assist physicians and other clinicians in their managed care and business operations. For over 17 years, NAMM has been an innovator in health care with a track record for quality, financial stability, extraordinary services and superior electronic capabilities. Prime Care Medical Network is a key affiliate. OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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