Transitions Case Manager

Under the direction of the Transitions Manager, assesses patients' appropriateness for admission to the program. Completes in home assessments for admissions to Transitions and provides follow-up calls and visits as needed to Transitions clients. Identifies full range of services to meet client needs.

Education

Master's Degree in Social Work required

Experience

• Two to four years of experience working with patients/clients and families

• Experience working with hospice population preferred

Skills

• Skill in fostering interpersonal relationships

• Skill in oral and written communication

• Skill in using computers

Licensures, Certifications

LGSW or LCSW-C required

Physical Requirements

Ability to life up to ten pounds maximum and occasionally lifting and/or carrying small item

Working Conditions

Normal office work environment/field visits

Principal Duties and Responsibilities

• Provides assistance with receiving all incoming referrals and scheduling assessment visits

• Schedules and completes assigned client/family assessments to determine appropriateness for admission to Transitions program

• Identifies the needs of client/family and sets goals to meet those needs. Implements and coordinates plan of services.

• Facilitates on-going assessments/re-evaluations of client/family

• Appropriately refers clients/families to services in the community

• Documents visits and phone calls in data base to ensure accurate client/family records.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others' needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations

• Actively pursues learning and self-development

• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others

• Takes ownership of problems and does what is needed to solve them

• Appropriately plans and utilizes required resources for various job duties

• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team

• Addresses and resolves conflict in a positive way

• Seeks out the ideas of others to reach the best solutions

• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment

• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment

• Continuously seeks to improve the quality of products/services

• Displays flexibility in dealing with new situations or obstacles

• Achieves results on time by focusing on priorities and manages time efficiently

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.