Bachelors of Social Work

This is a 1099 contractor position. An Embrace Bachelor of Social Work is responsible for helping older adults with two or more chronic conditions navigate and solve for many of the Social Determinants of Health (SDOH) we will discover as we work them over time. Additionally, you will be responsible for administering assessments within your scope of practice such as the PHQ-9. Lastly you will coordinate with our interdisciplinary team and provide input and feedback into care plans as well as help coordinate other community resources we will recommend to our patients. Our goal at Embrace is to help patients learn to take preventive actions that improve their overall healthspan. We work to reduce their chance of a hospital admission and extend their ability to independently age in place. You and the team will be responsible for their health outcomes by changing the behaviors of patients.

We are currently focused on GUIDE which is a new CMS Innovation Center 8-year pilot that started July ’24. The goal of GUIDE is to provide preventive, longitudinal care to Medicare beneficiaries with dementia as well as support services to their caregivers to reduce hospitalizations and the need for skilled nursing.

The GUIDE Dementia Care provided by Embrace includes:

- Care Navigators help patients and their caregivers to establish and then follow their personalized dementia care plan.

- Care team coordination to improve patient care and reduce caregiver burden.

- Caregiver education and support

- Coordination of temporary respite services for caregivers with Medicare paying up to $2,500 per year

- No cost or copay for qualifying Medicare beneficiaries

Embrace’s social workers serve patients in their local area. You will establish relationships with other local healthcare providers serving the older adult population and become known as an outstanding care provider and advocate for senior health. You will work closely with the interdisciplinary team and provide updates on the patient’s progress and make recommendations for their care.

You will work from home and manage your schedule to meet the needs of your patients and the company.

Embrace is a young company that is rapidly developing its programs and systems. As an early employee we are looking for people who are passionate about patient care, creative in finding the best ways to get things done and enjoy working as part of a team to build something new. As a new company there are unknowns, so we need people who can thrive in an uncertain environment, be open to change, not want the status quo and learn and help us establish the model for future social workers.

Position Requirements:

• Bachelor’s in social work
• Living in and actively licensed in Pittsburgh PA.
• Minimum of 2 years of experience as a social worker
• Experience helping geriatric patients
• Ability to work flexible days and times to meet individual patient needs
• Proven experience and competency using computer systems, Microsoft/Google Office products, Electronic Health Records, State Health Information Exchanges, etc.
• Ability to build trusting relationships with patients, physicians, and colleagues
• Willingness to be an advocate for your patients and take the necessary actions to keep them healthy

Preferred Skills

· Knowledge on how to resolve SDOH issues within the regional area you work

· Ability to establish relationships and processes with community partners to ensure our patients have the access to all the resources they need

· Provide exceptional care and empathy for your patients

· Proven track record of achieving patient health outcomes

· Ability to treat each patient individually and help them do things they couldn’t have done on their own

· Demonstrate a creative ability to identify and articulate ways to improve our processes to improve patient health outcomes

· Ability to work independently and remotely

· Ability to collaborate with other team members remotely to discuss complex cases, reasons for hospitalizations and/or Emergency department visits, learn from and share best practices with colleagues

· Confidence and optimism to take risks to improve patient outcomes

· Ego control that makes you a great team player

Compensation

This is a 1099 position. A competitive hourly rate will be provided

Company Summary

Embrace Prevention Care is a small, rapidly growing healthcare company. We are a leader in geriatric preventive care, providing an integrated suite of telehealth, pharmacy, and behavioral change services to prevent disease, improve health and reduce costs. We help Medicare patients with chronic conditions take meaningful preventive actions to reduce hospitalizations and extend safe aging in place. We believe when patients take charge of their health by engaging in the healthiest behaviors, they remain in control of their situation, maintain their independence longer, avoid preventable hospital admissions and emergency department visits.

As we navigate healthcare challenges with our aging parents, we see there are too many gaps and much room for improvement. We formed Embrace to provide consistent, excellent care for chronic illnesses, enabling Medicare patients to stay healthy, out of the hospital and live safely and independently in their homes.

Job Types: Part-time, Contract

Pay: $28.00 - $32.00 per hour

Benefits:

• Flexible schedule

Work Location: Remote