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The Iora Health model of care changes everything. Will it change you?

Iora Health has one mission: to restore humanity to health care. Our aim is simple: to deliver robust, dynamic primary care that transforms our patients lives. 

We are seeking a full-time Case Management High Risk Social Worker to join our High Risk Care team primarily in the Tacoma/Puyallup, WA area. This Social Worker will serve as a key member of the High Risk Care team, playing a critical role in managing the care needs of our high risk/high need patients primarily in the home and/or virtually. The High Risk Social Worker will perform intakes with the High Risk Nurse Practitioner on visits together, managing patient case loads, & connect patients as appropriate to essential resources that are critical to their care.

Iora has a network of primary care practices where we take the time to know our patients as true individuals, & proactively provide the care, support, & inspiration they need to live their best life. Our practices offer smaller panel sizes, no billing or coding, & the opportunity to lead systemic change in health care delivery while working with a true team. We are a fast-paced, fresh-thinking, high-growth company building a better model of health care delivery.

Position Highlights:

  • Serve as a key member of the High Risk Care Team, in partnership with an NP, RN, & support staff, as well as practice-based care teams, to follow a team-identified panel of patients until their needs have stabilized. Care interventions will primarily be delivered in the home and/or via phone.
  • Support high risk, high need patients & their families to address barriers to their overall care & management of chronic conditions until they are stable & able to return to the general primary care population
  • Work with patients & caregivers to understand barriers to accessing appropriate care & assist in developing a care plan for chronic condition management & overall care
  • Support care team in executing care plans once patients move out of the high risk care team panel
  • Meet patients where they are at - both physically & mentally, to support care. Provide support in the home, in facilities, or via phone based on patient need. 
  • Facilitate conversations around goals of care, patient values, & Advance Care Planning
  • Work with external partners such as discharge planners, UM staff, insurance case managers, state agencies such as Medicaid & SNF case managers to facilitate care 
  • Refer patients to appropriate community agencies & resources. Support care team in navigating community referrals. 

Qualifications:

  • Must have a Master's Degree in Social Work & relevant experience 
  • Experience in a medical or hospital setting strongly preferred
  • Experience with team based care, excellent collaboration skills 
  • Experience with a PACE type of program, integrated MSW in a geriatric or home based setting
  • Excellent working knowledge of community resources, assessing social determinants of health, medical terminology, & working with a geriatric population
  • Exceptional capacity to multitask
  • Self-directed
  • Comfort with ambiguity
  • Strong communication & teaching skills. 
  • Understanding of Mac iOS, Google suite.
  • Daily access to a vehicle with valid drivers license
  • Flexibility & willingness to travel around primarily the Tacoma/Puyallup area with some travel in Seattle.
 
 
 
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