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Job ID: 22785
Location: Chapel Hill, NC
Facility/Division: UNC Faculty Physicians
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Responsible for patient outreach and care coordination in the ambulatory practice setting. Identifies barriers to care plan compliance and provides appropriate education and resources. Works collaboratively with the care team to achieve high quality, low cost outcomes for patient populations. Consistently achieves established productivity targets.
1. Provides care management services in the ambulatory practice setting. Works collaboratively with other care team members to develop and support the patient's care plan.
2. Utilizes motivational interviewing to identify barriers and facilitate care plan compliance. Serves as a patient advocate, supporting shared decision-making and the use of decision aids.
3. Educates patients and families on a variety of topics including how to access medical home services, establish self-management goals, and navigate the health care system.
4. Identifies, coordinates and helps to align patient care and community resources to facilitate patient care transitions and prevent hospital readmissions and Emergency Department visits.
5. Provides psychotherapy for mental, emotional, addictive, behavioral, or developmental disorders and conditions within the scope of practice for a LCSW.
6. Reviews and monitors patient outcomes, recommends changes in care plan and implements population management interventions.
7. Appropriately documents consults and interventions in the patient's electronic medical record.
8. Consistently achieves established productivity targets.
9. Appropriately documents consults and interventions in the patient's electronic medical record.
10. Actively participates in meetings, problem solving, goal setting, quality improvement and patient satisfaction initiatives.
11. Maintains compliance with organizational policies and procedures and evidenced based guidelines.
Requires Master's in Social Work.
This job profile is intended to provide a representation of responsibilities required. Employees may be requested to perform job-related tasks other than those specifically presented in this profile.
Professional Experience Requirements:
Three (3) years of broad clinical experience in the acute care setting caring for patients with complex medical conditions required. Experience in case management, utilization review, quality management preferred.
Knowledge, Skills, and Abilities Requirements:
Excellent interpersonal skills and communication capabilities. Knowledge of care management and quality improvement principles. Possess appropriate analytical skills to independently problem solve and make decisions. Possess computer skills at a level sufficient to effectively and efficiently use computer applications common to a Patient Centered Medical Home practice
Legal Employer: STATE
Entity: UNC Faculty Physicians
Organization Unit: UNCFP Geriatrics Clinic
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.