Experienced candidates qualify for a sign-on bonus up to $5,000, provided the candidate meets the minimum eligibility requirements(Master's degree with at least one year of healthcare care coordination, preferably hospital-based, experience)
Provide social work services, complex discharge planning, and care coordination to patients and their families. Identify needed community services and refer patients in need to the appropriate services. Collaborate with other members of the multi-disciplinary team to affect positive patient and family outcomes. Communicate with other hospital staff re: psycho-social issues that impact health condition/status.
- Master's degree in Social Work from a school accredited by the Council on Social Work Education (CSWE)
LICENSURE, CERTIFICATION, and/or REGISTRATION:
- Clinical licensure (or provisional status) desirable
- Certification as an Accredited Case Manager preferred (ACM-SW) preferred
ESSENTIAL FUNCTIONS:1. Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs. 2. Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs. 3. Completes psychosocial assessments in accordance with departmental and professional standards to identify emotional, social and environmental needs related to diagnosis, illnesses, treatment and life situations. 4. Formulates, develops and implements a psychosocial treatment plan utilizing appropriate social work modalities and interventions, which may include crisis intervention, individual and family therapies, and grief and bereavement counseling. 5. Initiates appropriate internal and external referrals specific to individual patient needs. 6. Maintains current knowledge of available federal, state, and local regulations. 7. Advocates for unmet needs on behalf of patients. 8. Participates in the development of a discharge plan in collaboration with the multidisciplinary team to drive patient progression through the continuum of care. 9. Maintains current knowledge and awareness of payer and reimbursement practices impacting the plan of care. 10. Coordinates patient and family care conferences as needed. 11. Identifies barriers to efficient and effective management of patient care and seeks strategies to eliminate the barriers 12. Documents in in the Electronic Medical Record in accordance with departmental reporting standards. 13. Maintains working knowledge of payer and reimbursement practices impacting the plan of care. 14. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care.
- Demonstrates competence related to age and developmentally appropriate care
- Establishes positive work relationships and works to reduce work place conflict
- Demonstrates ability to work in fast paced environment with multiple interruptions
- Embraces change in rapidly changing health care environment Social work experience in a healthcare setting desirable
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