Social Services Coordinator - Lakeland - Humanitary Medical Center Inc

Job summary:

HMC ‘s Social Service Coordinator responsibility is to provide information and guidance to patients about their social rights, benefits and existing resources facilitating access to all citizens. Also provides orientation on the steps to follow within the federal, state and local regulations, including HIPAA. Coordinates the socio- economic needs and service to selected member populations across the continuum of illness.

Essential Duties & Responsibilities:

The following duties are illustrative and not exhaustive

• Detects and receives cases on patient's needs related to Social Services and Social Assistance
• Interviews and coordinate home assessments with members and their families
• Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care
• Assess social needs of applicant through an individualized analysis with the use of techniques and experiences of the Social Worker
• Coordinates appropriate resources to patients to meet their needs and demands
• Evaluates and follows up with all cases, especially where there are minors or elderly, or anyone at higher risk
• Develops plan of care for patients to obtain authorizations for appropriate home and community-based services
• Assesses the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports
• Acts as a liaison between the Health Plan, providers, enrollees, and their families
• Assesses the enrollees' current medical and social circumstances to identify any gaps or barriers that would impact compliance with the prescribed treatment plan and assist members in understanding the implications and complexities of their current medical condition
• Educate enrollees about the program, including Community based Services
• Coordinates with enrollees' primary care provider, specialists and other providers and care programs to ensure comprehensive approach to care and determine appropriate behavioral action needed to support medical needs
• Coordinates community resources and assist members in obtaining these resources when their benefits are exhausted or not available
• Follows up with members telephonically and/or in-person and coordinates member's case management services
• Constantly interacts with members, family and other resources to determine appropriate behavioral action needed to address/ support medical needs
• Calls patients to ensure they are and have seen their PCP and are completing their treatment plan or preventative care services as defined by the PCP or guidelines
• Coordinates community resources
• Assists in obtaining benefits for members through community resources
• At times, may manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability
• Communicates effectively with other professional and support staff to achieve positive patient outcomes
• Promotes and contributes to a positive, problem-solving environment
• Assists patients, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner
• Complies with company policies and procedures and maintains confidentiality of patient medical records in accordance with state and federal laws
• Ensures compliance with all HEDIS, HIPAA, OSHA and other federal, state or local regulations
• Participates in training and in-service education, as required
• Other duties as assigned

This job description is not intended to be all-inclusive. Our associates may be required to perform other related duties as necessary to meet the ongoing needs of the organization.

Requirements

• Experience in an acute care, manage care, or social services environment
• Minimum of High School diploma or equivalent combination of education and experience
• Previous experience in healthcare environment and medical terminology
• Excellent computer knowledge is required, including proficient knowledge of Microsoft Office Proficiency in electronic health record software
• Outstanding Customer relations experience
• Proficient in Microsoft Office, including Outlook and Excel.
• Reliable with strong organizational and interpersonal skills
• Must be fully Bilingual ( English & Spanish)
• Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies
• Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization
• Ability to work effectively independently and in a team environment with little supervision
• Must be able to work well under stressful conditions
• Must be able to work in a fast-paced environment
• Ability to effectively present information and respond to questions from groups of managers, clients, customers and the public, strong presentation skills
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Strong decision-making, analytical skills
• Must be self-motivated, organized and have excellent prioritization skills