Up to $5,000 Sign-On bonus based on experience

Summary

The Social Worker is responsible for facilitating 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 assessing the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts 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

· Education provided to physicians, patients, families and caregivers

This individual’s responsibility will include the following activities: a) 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)may be asked to participate in multidisciplinary 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, l) and other duties as assigned.

Qualifications

BSW degree from a C.S.W.E. accredited University Social Work program. Certification from National Association of Social Workers in Case Management as a Certified Social Work Case Manager (C-SWCM) preferred. Two years acute hospital experience preferred. Required skills include demonstrated organizational skills, excellent verbal and written communication skills, 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.

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