Health Actuary Jobs in Ohio

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position ensures organizational excellence related to customer service and quality of care while promoting excellence in the cultural experience at assigned hospital. This position is responsible for providing services to patients, families and significant others including, as appropriate, completion of biopsychosocial assessments, psychiatric diagnoses, formulation of treatment plans and treatment interventions, therapy sessions (individual, couple, families or group), implementation of treatment plans and discharge planning in order to support and/or enhance biopsychosocial functioning. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team).

The Social Worker MSW, LISW also performs advanced functions including staff education, development, training, mentoring, project development and administrative or supervisory responsibilities that advance the mission of the department and organization. The clinician can practice independently and without supervision as permitted by the State of Ohio licensure. This position may be responsible for supervising select social service functions and overseeing administrative responsibilities for scheduling staff, daily assigning of cases, and assisting the manager with direct supervision of the social work staff and masters level interns and students.

This position requires ability to act quickly and work in high stress situations.

Responsibilities And Duties:

30% Advanced Clinical Assessment

• Conducts patient/family/significant other interviews, chart reviews, and professional collaboration to obtain and interpret information pertaining to patient/client biopsychosocial functioning. Assessment to include, but not be limited to: developmental and age-specific needs; ability to care for self; ability to care for dependents; ability to meet basic custodial and financial needs; ability to engage in meaningful social and emotional relationships; and ability to comprehend and comply with treatment recommendations. Develops care plan, including discharge plan, incorporating medical plan of care. Participates in identification of cases of abuse, neglect or exploitation and refers such cases to the legally mandated authorities when applicable. Provides crisis intervention, information and referral and linkage to community resources as needed.

30% Advanced Intervention Management

• Develops a plan of intervention based upon assessment to resolve identified problems and/or to support and enhance biopsychosocial functioning. Through individual, family, or group modalities, employs clinical intervention skills including, but not limited to, treatment planning; continuum of care planning (including discharge planning); supportive counseling; crisis intervention; specialized problem oriented planning and intervention; and educational counseling. Substantial interdisciplinary collaboration, which is a critical piece in holistic care planning for patient and support system.

25% Advanced Population Management

• Staff is accountable for coordinating clinical and financial outcomes of an assigned population. Works collaboratively with interdisciplinary staff and external organizations to achieve timely, cost effective management of patient care. Monitors for quality and type of services delivered to patients, ensuring management within established parameters. Functions as a liaison to the payer to manage the post-discharge financial resources and ensure expected treatment process, progress and discharge plan. Monitors and ensures completeness of all assigned patients in areas of treatment plan and timely reports. Help patients coordinate care for the highest quality of life, while managing to the lowest cost. Working with families to ensure access to knowledge and resources.

10% Documentation and Regulatory Compliance

• Thoroughly documents assessments and interventions in patient’s medical record and information systems in accordance with department standards. Complies with internal and external documentation requirements as related to specific patient/system needs and regulatory requirements.

5%

• Maintains awareness of current hospital, community services and appropriate care options that can assist patient/clinical biopsychosocial functioning. Provides information as well as facilitates successful linkages between those services and the patient/client. Performs additional functions as may be appropriate to the position.

Minimum Qualifications:

Master's Degree: Social Work (Required)
DL-HC - Driver's License only if in a Home Care department - Department of Motor Vehicles, LISW - Licensed Independent Social Worker - Social Work Certification and Licensure Board, LPCC - Licensed Professional Clinical Counselors - American Counseling Association

Additional Job Description:

Medical terminology knowledge and an understanding of disease process.

Work Shift:

Day

Scheduled Weekly Hours:

40

Department:

Behavioral Health Primary Care

Join us!

... if your passion is to work in a caring environment

... if you believe that learning is a life-long process

... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment.