The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.
The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission.
Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge, and prevent avoidable readmissions.
- This position integrates national standards for case management scope of services including : Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction;
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care;
Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; and Education provided to physicians, patients, families, and caregivers.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and / or experience required to perform the job.
- Master’s Degree in Social Work required
- Licensed Clinical Social Worker required
- Ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy
LI-WB1
This individual’s responsibility will include the following activities :
a) complex psycho-social transition planning assessment and reassessment and intervention,
b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and / or federal agencies,
c) care coordination,
d) implementation or oversight of implementation of the transition plan,
e) leading and / or facilitating multi-disciplinary patient care conferences including Complex Case Review,
f) making appropriate referrals to other departments, g ) communicating with patients and families about the plan of care,
h) collaborating with physicians, office staff, and ancillary departments,
I) assuring patient education is completed to support post-acute needs,
j) timely complete and concise documentation in Case Management system, k ) maintenance of accurate patient demographic and insurance information, and
l) other duties as assigned.
Education :
Required : Bachelor's of Social Work
Experience :
Preferred : 1 year of acute hospital experience
Certifications :
Required : BSW. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
Active license for state(s) covered.
Preferred : Accredited Case Manager (ACM)
Physical Demands :
Lift / position up to 25 lbs. Push / pull up to 25 lbs of force. Frequent sitting. Moderate standing, walking, reaching, stooping, and bending.
Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.