Complex Care Social Work Case Manager

Job Description

A bit about this role: 

Devoted Medical Group was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America’s most vulnerable patient populations. The Complex Care Department is at the heart of this goal: we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, case managers, social work case managers, community health workers, and outreach coordinators united by our mission to build a better care delivery system for Devoted’s most complex members.  We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions.

As a Social Work Case Manager, you will support the care team in serving our patients and assist with care plans that promote patient well-being by coordinating services to address socioeconomic and psychosocial needs. This will involve supporting the development of care plans that align with community, clinical, and financial resources while providing coaching and support to patients and their caregivers.   Additionally you will support the improvement of coping skills, self-management, and caregiver assistance; and facilitate advanced care planning discussions, including palliative or hospice care transitions when appropriate.  You will examine, challenge, and seek to expand how the community environment supports the patient’ needs, and work closely with other members of the multidisciplinary team.

Responsibilities & Impact will include: 

• Establish trust and build strong relationships with our patients telephonically and virtually
• Interdisciplinary collaboration with the interdisciplinary team (including clinicians, case managers, community health workers, and coordinators) to ensure cohesive, patient-centered care for high-needs patients
• Engage with  patients to identify social barriers to assist in resource alignment, & coordination services to maximize the effectiveness of the Complex Care Department:
  • Conduct screenings and create personalized action plans tailored to patient’s needs 
  • Recognize caregivers who exhibit signs of burnout or are actively coordinating the patient's care, providing emotional support and additional resources when needed 
  • Assist in navigating complex family/support issues
  • Facilitate conversations about end-of-life planning 
  • Collaborate with patients to identify their long-term care planning needs and goals. Provide information on available options and support in arranging referrals and coordinating necessary care
  • Coordinate care between the Devoted Medical Behavioral Health Team and monitor outcomes
• Know how to balance multiple competing priorities for complex patients
• Build relationships and coordinate with key local market and internal stakeholders 

Required skills and experience: 

• Ability to work in a fast-paced environment 
• Embrace, crave and be comfortable with new and ever-changing technologies
• Have a minimum of 3 years working in medical social work, case management, or care coordination
• Master’s degree in social work and active state license
• Bilingual in Spanish preferred 
• Health insurance experience preferred (Medicare Advantage a plus)
• Experience working with the senior population a plus 
• You’ve had proven success in building relationships with patients and an interdisciplinary team
• The ability to comfortably multi task: you’ll be listening, talking, evaluating and writing notes all at the same time 
• You’re a great team member with a can-do attitude; you’re self reflective 
• Comfortable with working remotely
• Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Desired skills & experience: 

• You’re a caring problem solver who can break down barriers 
• You connect with people quickly 
• You can prioritize needs against multiple competing demands
• You follow up relentlessly 
• You have comfort in the weeds of logistics 
• A deep caring to make a change in the healthcare experience: you love to serve and make a difference 
• The ability to adjust your tone and approach to different people 
• You can articulate and break down complex information for an interdisciplinary team to be able to coalesce around a plan of care
• Are present, reliable and timely for our patients and the team 
• The ability to work in a changing environment: which means moving quickly and being transparent in your work, what’s going well, what’s not 

Salary range: $65,000 - $85,000 per year

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.