Care Coordinator Social Worker

Join to apply for the Care Coordinator Social Worker role at eQHealth Solutions

• Utilize MSW education and experience to perform telephonic and onsite assessments of medically complex pediatric recipients in the PDN care program.
• Work as part of a multidisciplinary team, meeting regularly to develop comprehensive care plans based on patient and family needs.
• Use independent judgment to evaluate and modify care plans as needed, communicating changes to families, healthcare teams, and other involved agencies.
• Coordinate with families and healthcare teams to arrange for identified home care services.
• Consult on patient care issues within areas of expertise and serve as a resource to the community, documenting all activities appropriately.
• Manage daily workload related to the quality review process, including case assignments and follow-up to meet contractual timelines.
• Prioritize requests professionally to foster cooperative relationships and ensure confidentiality.
• Maintain tracking systems for correspondence in accordance with contractual requirements.
• Review documentation and prepare outgoing communications to physicians and providers as per policies.
• Assist in coordinating Physician Peer to Peer conferences as needed.
• Review incoming referrals and peer determinations, escalating questionable cases to management.
• Act as an expert resource for external customers.
• Participate in ongoing program development, implementation, and evaluation, providing recommendations for improvements.
• Contribute to internal initiatives and assist in data gathering for CMS reporting.
• Support training of nurses and coordinators on processes and relevant issues.
• Provide courteous, prompt service to all customers and identify opportunities for process and service improvements.

• Entry level

• Full-time

• Other

• IT Services and IT Consulting