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Job Description​

The Population Health Social Care Supervisor will:

+ This position will have oversight and project management responsibilities for community-based initiatives.

+ Experience working with underserved and diverse populations in community settings required.

+ Develops and monitors Social Care team goals; provides ongoing feedback and coaching; conducts annual performance reviews; routinely evaluates staff’s skills and technical comprehension

+ Contributes to the growth and success of their team and CHW program and its goals.

+ Active participation in CHW forums and community-based initiatives.

+ Analyzes processes and procedures to develop innovative approaches to challenges or issues.

+ Attend and actively participate in all project related trainings and project meetings.

+ Strive for high customer satisfaction by providing prompt, solution-focused support to team, co-workers, patients, and community partners.

+ Ensures an atmosphere of open communication, teamwork, and empowerment to make informed decisions.

+ Collaborates with Senior Manager of Population Health Transformation in analyzing reviews, metric data, and chart audits and uses that information to identify opportunities for improvement.

+ Collaborates with Senior Manager of Population Health Transformation on overall budget for Care Management.

+ Oversees Social Care Team position control and hiring of new staff.

+ Contributes to the clinical, quality and financial outcomes of the Population Health Department.

+ Familiarity with value-based payment models and supports payor related value-based care programs.

+ Performs all other related duties as assigned by Senior Manager of Population Health Transformation.

+ Demonstrates a measurable, organized, enthusiastic and outcomes-oriented approach.

The Social Care Team is responsible for supporting and coaching at-risk patients to manage their own health and assisting them in navigating the health care and social service systems.

+ Reliable and accessible transportation along with current insurance coverage is required.

+ Complete all required documentation and data tracking in a detailed and timely manner.

+ Complete all telephone and face-to-face contacts with patients in a timely and professional manner.

+ Complete enrollment forms and other needed documentation and documents in approved format in a timely manner.

+ Assist patients in the community through home visits, attending medical appointments, and accessing other community-based resources.

+ Assist patients in the community through home visits, attending medical appointments, and accessing other community-based resources.

+ Must have the ability to relate to diverse groups of people and people on all levels.

+ Provide support and education to patients to assist them in adhering to medical recommendations and taking medications as prescribed.

+ Assist patients in scheduling medical and social service appointments and attending appointments as needed or requested.

+ Assist patient in securing transportation to medical and social service appointments.

+ Provide assistance with medical and behavioral health referrals to ensure client access and follow-through.

+ Assist patients in obtaining necessary medications through patient assistance programs and other reduced cost programs.

+ Complete client-centered treatment goals in collaboration with patients and review progress in meeting goals routinely and at identified 60-day check-in times.

+ Provide regular and timely updates to medical providers, referral sources, and assigned clinics on patients' progress to meet treatment goals and to trouble shoot any problems or concerns.

+ Review referral forms, needs assessments, or Electronic Medical Record data and determine appropriateness of referrals. For patients not appropriate for projects, provide active referrals to other community resources.

+ Assist clients in accessing and understanding necessary health and wellness information provided by their medical provider and clinic.

+ Ensure client’s access to interpreters and translators for medical and social service appointments.

Job Requirements

Applicable Experience:

3-5 years

Driver's License - Various

Master's Degree - Social Work

Job Details

Full Time

Day (United States of America)

_The best place to get care. The best place to give care_** **. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.