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ACO Care Manager / Social Worker
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Full-time
- WHAT YOU CAN EXPECTCoordinates reporting activities to specified government agencies relating to specific abuse or neglect of patient of any age.
- Supplies medical information, including completed required medical forms to community agencies for use in patient's post hospitalization and follow-up treatment.
- Identifies Social Determinant of Health (SDoH) needs and makes appropriate referrals to a psychosocial case manager and other disciplines that comprise the patient's treatment team; refers patients and their families to a medical case manager or nursing staff for education concerning the treatment goals and plan of care.
- Collaborates with a Clinical Care Manager and a multidisciplinary treatment team to individualize each patient's treatment needs in order to achieve defined goals for Collaborates with a Clinical Care Manager, physicians, and a multidisciplinary team to develop and evaluate clinical pathways-standing orders; in collaboration with a psychosocial case manager, acts as a liaison between the patient and family members with patient care issues.
- Works with patient's third-party insurance payer regarding non-covered services in an attempt to provide needed services in the most economical means possible.
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