Interwell Health

kidney care management

RemoteLicensedMasterSocialWorker(LMSW)

Harleysville, Pennsylvania, United States; Brookston, Indiana, United States; Bethesda, Maryland, United States; Belle Chasse, Louisiana, United States; Bay St. Louis, Mississippi, United States; United States Remote Friendly
The Brief

“Remote Licensed Master Social Worker (LMSW) at Interwell Health. Skills: social work, case management, virtual care, patient advocacy. Provide virtual support to patients facing complex medical, social, and behavioral health challenges. Partner with patients to navigate healthcare and social systems”

What You'll Achieve.

Improving patient outcomes

Industry & Context.

kidney care management
Problems you'll solve

problem-solving skills

Eligibility Requirements

Willingness to obtain and maintain additional state licensures as needed

What They're Looking For.

Must Have

Master's degree in Social Work from an accredited program, Active unrestricted Social Worker license in the state of residence, 1+ years of experience in social work, preferably in a healthcare or community-based setting, 2+ years’ experience in the delivery of care to patients with CKD, ESKD, or other chronic diseases, Knowledge of healthcare regulations (including HIPAA), Proficient in using virtual care platforms, case management skills, Deep understanding of social determinants of health, Excellent communication and interpersonal skills, Proven ability to advocate for patients, High levels of empathy, emotional intelligence, and sound judgment, organizational, time management, and problem-solving skills

Nice to Have

Candidates who reside in and hold licensure in select details will be discussed during the interview process

What You'll Do.

Provide virtual support to patients facing complex medical

and behavioral health challenges

Partner with patients to navigate healthcare and social systems

Connect patients to critical community resources

Address barriers that impact overall wellbeing

Collaborate with interdisciplinary team members

Provide support for patients and families coping with life transitions

and other psychosocial challenges

Empower patients and caregivers by providing ongoing education regarding psychosocial issues related to kidney disease and all available support services

Conduct virtual assessments to identify patients’ social

Develop and implement individualized care plans

Manages referrals regarding patients at high risk of poor health outcomes

barriers to complete treatment recommendations

and/or with complex psychosocial barriers

Identifies root cause(s) of barrier(s)

develops plan of intervention with an evidence-based approach

executes intervention

and monitors success of intervention

Re-evaluates interventions and plans as necessary

Provides supportive counseling services

Reports the discovery of unreported medical or social conditions or changes at home that may lead to adverse outcomes to the clinical team

Advocate for patients by facilitating access to appropriate social services

Support patients through healthcare and social care navigation

Maintain thorough and timely documentation of all patient interactions

How You'll Work.

Team & Collaboration

Collaborate with interdisciplinary team members, including nurses, dietitians, care coordinators, and others, to deliver comprehensive virtual care services to patients; Collaborate effectively with patients, caregivers, and interdisciplinary care teams remotely

Communication Scope

Excellent communication and interpersonal skills

Free ATS check

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