Social Worker MSW - Care Management - HPW - FT - Day

Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

Social Worker MSW Care Management

JOB CODE:20200

FLSA Exemption Status: Non-Exempt

SUMMARY (BASIC PURPOSE OF THE JOB)

Assesses, diagnoses, intervenes with and plans for social work services related to patient and family bio-psycho-social needs and behaviors. Integrates assessment using information related to cultural, clinical, ethnic, age and other factors into plan of care in order to implement transition plans and treatments.

Acts as active team member in the discharge planning process and has primary responsibility for identifying complicated social and financial factors and barriers to appropriate discharge. Assures patient is referred to available, appropriate social and financial resources post discharge in order to transition patient efficiently and achieve the desired outcome. Refers patients/families and care givers to appropriate resources regarding abuse/neglect/domestic violence, alcohol and substance abuse. Performs appropriate clinical interventions related to grief counseling, bereavement, adjustment, crisis intervention in order to support the process of transition planning and increase patient/family coping skills.

MINIMUM REQUIREMENTS

Education: Master's degree in Social Work (MSW).

Experience: One year experience in a clinical setting performing clinical social work preferred.

Other Credentials: Social Worker - Licensed

Knowledge and Skills: Excellent communication, conflict management, organizational and planning skills

Special Training: Clinical training in a medical/clinical environment; knowledge of spreadsheet and word processing software, case management and patient information systems.

Usual Work Day:8 Hours

ESSENTIAL FUNCTIONS

• Documents clinical record, comprehensive assessment of patient needs including barriers to timely discharge, clinical interventions, support and appropriate community resources according to policy and utilizing recognized format, such as, assessment, intervention, and plan. Documents clinical record appropriate interventions including assessment, plans, and referrals in the discharge planning process.

• Uses culturally competent skills to assess individual patient needs and refers to appropriate professional staff when necessary. Identifies barriers and plans for intervention to overcome or lessen barriers to achieve outcome as evidenced by treatment plan.

• Collaborates, educates and assists health care team to identify social and financial barriers that delay appropriate transitions through multidisciplinary rounds, length of stay meetings, and medical record documentation.

• Documents in clinical record all referrals and clinical interventions related to abuse, neglect, domestic violence, alcohol and substance abuse, crisis intervention. Performs educational sessions for health care team related to abuse/neglect issues and reporting of same. Documents staff interventions in clinical record.

• Counsels staff and patient/family on conflict management in health care setting and monitors reaction and need for ongoing intervention. Completes mental health /psych assessments when appropriate. Advocates for appropriate services for all patients with payor and providers of post-acute care service, community service and other services in order to optimize patient outcome.

• Participates in staff development and performance improvement program activities to increase self knowledge, staff and colleague awareness of bio-psycho-social issues and functioning, improve departmental and systems design and functioning, and meet regulatory requirements

• Attends and participates in regular departmental performance programs, staff meetings, and hospital wide committees to analyze and respond to issues significant to social work services and to identify opportunities for improvement.

• Assists in data collection and information gathering on patient care issues, program and systems analysis in order to comply with plan, do, check, act performance improvement standards of JCAHO.

• If applicable, may participate and develop inpatient and community programs that benefit patient, families and staff. Implements support groups for specified disease processes or bio-psycho-social issues to assist community outreach and development. May perform follow up service as needed to measure clinical outcomes.

• Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Standing , Walking , Carry objects , Keyboard use/repetitive motion

Occasional physical demands include: Sitting , Climbing (e.g., stairs or ladders) , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include:

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

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