ABOUT CAMPBELL COUNTY HEALTH
Campbell County Health (CCH) is the most comprehensive healthcare provider in the State of Wyoming. Certified as an Area Trauma Hospital, Campbell County Health includes Campbell County Memorial Hospital, an acute care, community hospital in Gillette; Campbell County Medical Group with nearly 20 clinics; The Legacy Living & Rehabilitation Center long-term care center and the Powder River Surgery Center. We are dedicated to excellence every day…
To be responsive to our employee’s needs we offer:
Can accrue up to 192 hours per year (increases with tenure)
Paid sick leave days
403(b) with employer match
Employee Assistance program
Employee and Spouse Occupational Health Program
Early Childhood Center, discounted on-site childcare
And more!
Click here to learn more about our full benefits package
JOB SUMMARY
The Social Worker focuses on integrating case management, social services, discharge planning, utilization review and pre- and post- hospital services to ensure clinical efficacy and best outcomes for our patients. The Social Worker works to ensure the provision of quality health care along the continuum of care, decreases fragmentation, enhances the patient’s quality of life, efficiently uses patient care resources, maximizes cost containment opportunities, and improves successful post-hospitalization transition care. The Social Worker guides the integrated team in the functions of care coordination, facilitation of referrals, education, discharge planning, utilization management, and advocacy. The Social Worker reports to the department head.
ESSENTIAL FUNCTIONS
Completes assessment of patient and family promptly when patients are referred to Case Management (CM). Specific attention is paid to readmitted, at-risk and/or resource-intensive inpatients. Patients will be triaged among the RN Case Manager, Case Manager, and Social Worker based on intensity of patient's psychosocial, financial and discharge needs.
Assesses patient/family adaptation to illness/disability and capacity to provide for patient's care needs. Monitors patient’s clinical course to provide ongoing patient care coordination. Verifies patient’s needs for acute hospital level of care using InterQual Criteria. Identifies obstacles to discharge.
Collaborates with physicians, nurses and other disciplines involved with care of the patient to foster a coordinated approach to patient care. Communicate with physician regarding the medical plan of care, anticipated discharge, and consideration of alternative setting.
Facilitates and impacts process issues to avoid delays in patient care. Intervenes with appropriate individuals/departments about service delays that may impact quality of care and/or length of stay. Provides feedback to supervisors regarding delays to constantly improve the process.
Functions as a liaison to external agencies including home health/hospice, rehab/skilled facilities and assisted living/long term care facilities, public health, and other community-based resources as identified.
Maintains required and concise documentation for patients including physical and functional limitations, psychosocial characteristics, plan of care to address post-hospital, treatment, and post treatment care needs, educational needs, and involvement in planning for care of patient and family, family/ social support systems, financial, economic, and discharged needs. Initiates referrals to disciplines with appropriate paperwork.
Focuses on the patient’s goals and preferences and includes the patient and caregiver/family as active partners in the discharge planning for post-discharge care. The discharge planning process and plan must be timely, consistent with the patient’s goals for his/her treatment preferences, ensure effective transition of the patient from hospital to post-discharge care with effective arrangements made prior to discharge, and reduce the factors leading to preventable hospital readmissions.
Assists patients and their families in selecting a post-discharge care provider, by sharing and using data on quality and resources use measures, as may be relevant to the patient’s goals of care and treatment preferences.
Demonstrates commitment to work partners to help each other reach mutual goals and learn from each other. Demonstrates actions and behaviors that consistently promotes trust, respect, positive attitude and promotes team morale.
Seeks peer and supervisor consultation regarding problematic cases or cases demonstrating deviations from the plan of care.
Conducts self in professional manner, using Standards of Behavior as outlined by CCMH.
Maintains professional relationships with other departments, external organizations, service providers, physicians, and families of patients.
Must be free from governmental sanctions involving health care and/or financial practices
Complies with the hospital's Corporate Compliance Program including the Code of Conduct, laws and regulations, and hospital policies and procedures. Works within the scope of the Wyoming Social Work Practice Act.
Other duties as assigned. This list is non-exhaustive.
JOB QUALIFICATIONS
Education
A minimum bachelor's degree in social work is required.
Licensure
None required.
Experience
Three years of experience in the healthcare field is preferred.
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