About Sage Health
We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They've earned it.
Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.
Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.
All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact team@sage.health.
Company Perks
About the role
POSITION SUMMARY
The social worker will utilize interventions to enhance patient and family functioning and emotional well-being and access appropriate, agreed-upon services. They collaboratively develop patient goals, monitor progress, address barriers to goal achievement, and evaluate outcomes of individualized care plans. This role provides training guidance and collaborative feedback to staff and providers in managing complex psychosocial patient issues, aligning with Sage Health's objectives. Social workers also engage patients, create trusting relationships, and provide care coordination and management to patients with social determinants of health challenges, high emergency department and inpatient utilization rates, and significant financial vulnerability.
What you"ll do
PRIMARY RESPONSIBILITIES:
· Ensure patient information remains secure and confidential.
· Develop a database of grant-funded and community resources, i.e., food banks, transportation, churches, etc.
· Participates in center and market interdisciplinary team meetings, i.e., Weekly Utilization Medical Cost Meeting
· Assist patients in applying for government and community assistance or additional support, i.e., Medicaid, energy assistance, etc.
· Provides concise and thorough documentation through progress notes, including progression and attainment of goals, referrals to internal and external agencies, and contact/involvement with the patient's family.
· Support the members in improving their well-being by staying out of the hospital and attending regular visits to their primary physician via education, clinical resources, and membership follow-up.
· Support the members in ensuring the pick-up of their prescriptions by providing education, quality compliance, and membership follow-up.
· Acts as a liaison and advocate between the patient, family, physician, and facilities/agencies
· Proactively engage the members to manage their own health and healthcare decisions.
· Provide members with education on community resources and benefits.
· Listen actively, communicate with empathy, and respectfully gather information.
· Conduct outreach to encourage participation in Sage Heath-related programs, services, and providers.
· Use methods that promote learning and positive behavior change.
· Use a variety of interactive teaching and coaching methods for different learning styles
• Evaluate complex patient and family situations with legal, ethical, and psychosocial components.
• Collaboratively develops patient goals, monitors progress, addresses barriers to goal achievement, and evaluates outcomes of individualized care plans.
• Assessment will reflect interdisciplinary collaboration and be comprehensive about the patient's age, diagnosis, support systems, and anticipated extent of intervention.
• Network proactively with and demonstrate a working knowledge of community resources
• Demonstrates and applies knowledge of State rules and Federal regulations that ensure safety, quality of life, and protection of patient rights.
• Participates in discharge planning for patients requiring post-discharge services such as transitions to skilled nursing facilities, assisted living facilities, outpatient dialysis, Acute Rehab, hospice, and transportation needs.
• Recommend consultation requests as appropriate.
• Perform other duties as assigned
Qualifications
REQUIRED QUALIFICATIONS :
· Currently resides in the Sage Health Medical Center City/County
· Valid driver"s license, car insurance, and access to an automobile
· Must be able to travel between multiple healthcare facilities, i.e., centers, hospitals, skilled nursing facilities, and patient homes.
· Ability to travel locally up to 90% of the time.
· Must have at least two years of experience within the community/city.
· State Licensed BSW or MSW
· Experience working with the needs of vulnerable populations.
· Excellent interpersonal, written, and verbal communication skills
Physical Requirements
Primary Duty Percent of Time Performing Duty
Visual Acuity YES 75-100%
Hearing YES 75-100%
Standing YES 75-100%
Walking YES 75-100%
Lifting/Pulling/Pushing NO 0-24%
Sitting YES 75-100%
Reports To: Center Manager
The pay range for this role is:PIf907bfc65880-30492-35411259
...assembly techniques for mobile equipment strongly preferred. Excellent team working and time management skills necessary. Application knowledge of mobile equipment, preferably of heavy truck chassis and systems preferred. This position will adhere to the Battle...
...Riva Motorsports, located in sunny South Florida, is a premier powersports dealer located in Pompano Beach. We are currently seeking a professional and responsible well qualified motorcycle technician. Applicants interested are welcome to call or come in and fill out an...
...rewarding opportunity in a caring environment. We are currently seeking an experienced: CERTIFIED OCCUPATIONAL THERAPY ASSISTANT ( COTA )Work with a multidisciplinary team to insure a wonderful rehab experience for patients and their families by being responsive and...
...Per Diem Registered Nurse Portland, ME Liberty Bay Recovery Center is looking for a Registered Nurse to care for our patients in our... .... Prefer 1 year of detox, emergency or med-surge nursing experience. Preferred Skills: Prefer working knowledge of medical...
...advancement opportunities! As a Delivery Driver , this position will deliver paint, and... ...company vehicle. Alert supervisor as to truck's repair and servicing needs. Know... ...from trucks. Match packing sips with purchase orders. Properly dispose of waste cans...