Social Worker - Mobile, AL
Company: Sage Health
Location: Mobile
Posted on: October 18, 2024
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Job Description:
About Sage HealthWe believe all seniors regardless of means
deserve concierge primary care & wellness, without the concierge
fees. They've earned it.Sage Health builds enriching neighborhood
health centers that are easy to access, provide or arrange for all
of our patients' healthcare needs, and partner with Medicare
Advantage plans that fully cover primary care. Unlike other
physician practices, a Sage Health physician has a patient panel of
400 or less, and we collaborate with the best outcomes-oriented
specialists and hospitals in each market. Because we are not a
fee-for-service provider and manage patients within a global
capitation budget provided by Medicare Advantage plans, our only
concern and motivation is to keep our seniors healthy.Sage Health
is a destination for the best risk provider talent in the country
who are building the new standard-bearing senior model for the
United States.All applicants are considered for all positions
without regard to race, religion, color, sex, gender, sexual
orientation, pregnancy, age, national origin, ancestry,
physical/mental disability, medical condition, military/veteran
status, genetic information, marital status, ethnicity, citizenship
or immigration status, or any other protected classification, in
accordance with applicable federal, state, and local laws. By
completing this application, you are seeking to join a team of
hardworking professionals dedicated to consistently delivering
outstanding service to our customers and contributing to the
financial success of the organization, its clients, and its
employees. Equal access to programs, services, and employment is
available to all qualified persons. Those applicants requiring an
accommodation to complete the application and/or interview process
should contact team@sage.health.
Company Perks
About the rolePOSITION SUMMARYThe social worker will utilize
interventions to enhance patient and family functioning and
emotional well-being and access appropriate, agreed-upon services.
They collaboratively develop patient goals, monitor progress,
address barriers to goal achievement, and evaluate outcomes of
individualized care plans. This role provides training guidance and
collaborative feedback to staff and providers in managing complex
psychosocial patient issues, aligning with Sage Health's
objectives. Social workers also engage patients, create trusting
relationships, and provide care coordination and management to
patients with social determinants of health challenges, high
emergency department and inpatient utilization rates, and
significant financial vulnerability.What you"ll doPRIMARY
RESPONSIBILITIES: - Ensure patient information remains secure and
confidential. - Develop a database of grant-funded and community
resources, i.e., food banks, transportation, churches, etc. -
Participates in center and market interdisciplinary team meetings,
i.e., Weekly Utilization Medical Cost Meeting - Assist patients in
applying for government and community assistance or additional
support, i.e., Medicaid, energy assistance, etc. - Provides concise
and thorough documentation through progress notes, including
progression and attainment of goals, referrals to internal and
external agencies, and contact/involvement with the patient's
family. - Support the members in improving their well-being by
staying out of the hospital and attending regular visits to their
primary physician via education, clinical resources, and membership
follow-up. - Support the members in ensuring the pick-up of their
prescriptions by providing education, quality compliance, and
membership follow-up. - Acts as a liaison and advocate between the
patient, family, physician, and facilities/agencies - Proactively
engage the members to manage their own health and healthcare
decisions. - Provide members with education on community resources
and benefits. - Listen actively, communicate with empathy, and
respectfully gather information. - Conduct outreach to encourage
participation in Sage Heath-related programs, services, and
providers. - Use methods that promote learning and positive
behavior change. - Use a variety of interactive teaching and
coaching methods for different learning styles--- Evaluate complex
patient and family situations with legal, ethical, and psychosocial
components.--- Collaboratively develops patient goals, monitors
progress, addresses barriers to goal achievement, and evaluates
outcomes of individualized care plans.--- Assessment will reflect
interdisciplinary collaboration and be comprehensive about the
patient's age, diagnosis, support systems, and anticipated extent
of intervention.--- Network proactively with and demonstrate a
working knowledge of community resources--- Demonstrates and
applies knowledge of State rules and Federal regulations that
ensure safety, quality of life, and protection of patient
rights.--- Participates in discharge planning for patients
requiring post-discharge services such as transitions to skilled
nursing facilities, assisted living facilities, outpatient
dialysis, Acute Rehab, hospice, and transportation needs.---
Recommend consultation requests as appropriate.--- Perform other
duties as assignedQualificationsREQUIRED QUALIFICATIONS: -
Currently resides in the Sage Health Medical Center City/County -
Valid driver"s license, car insurance, and access to an automobile
- Must be able to travel between multiple healthcare facilities,
i.e., centers, hospitals, skilled nursing facilities, and patient
homes. - Ability to travel locally up to 90% of the time. - Must
have at least two years of experience within the community/city. -
State Licensed BSW or MSW - Experience working with the needs of
vulnerable populations. - Excellent interpersonal, written, and
verbal communication skills
Physical Requirements Primary Duty Percent of Time Performing
DutyVisual Acuity YES 75-100%Hearing YES 75-100%Standing YES
75-100%Walking YES 75-100%Lifting/Pulling/Pushing NO 0-24%Sitting
YES 75-100%
Reports To: Center Manager
The pay range for this role is:
52,000 - 74,000 USD per year(Gulf Coast Market)
PIc0a74cd3a198-37248-35411259
Keywords: Sage Health, Mobile , Social Worker - Mobile, AL, IT / Software / Systems , Mobile, Alabama
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