Job Description

About this Job:

General Summary of Position

Serves as a member of the Case Management Team. Facilitates the delivery of quality cost effective patient-centered care from pre-admission through post-discharge timeframe. Ensures the care is designed to meet individualized patient outcomes. Monitors the care and services delivered to selected patient populations during the acute hospital stay working collaboratively with the multidisciplinary team both internal and external to the organization promotes effective case management and utilization of resources facilitating the continuum of care and works to achieve optimal clinical and resource outcomes for the acute and posthospital phases of care.

Primary Duties and Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations. Collaborates with the multidisciplinary health care team to develop and coordinate the plan of care. Demonstrates the ability to develop a plan of care that addresses needs across the continuum; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives. Collaborates with and completes referrals to appropriate community agencies for assistance based on patient need. Initiates referrals in a timely manner. Uses responses to help patient resume life in the community and/or adjust to lifestyle changes. Communicates daily with direct caregivers and case management triad regarding patient and family responses to plan of care identification of problems discharge planning and payor concerns such as LOS. Identifies delays in care and quality/risk issues and communicates information to appropriate individuals and departments. Completes psychosocial history or socioeconomic assessment as determined by healthcare team or high-risk indicators. Coordinates the completion of requisite forms by doctors patients and patients' families for any services required. Maintains accurate and timely documentation of case management activities to assure that physicians and caregivers are well informed regarding the discharge plans. Adheres to all policies and procedures regarding documentation and confidentiality of information.

Minimal Qualifications

Education

Master's degree in Social Work from a school accredited by the Council of Social Work required

Experience

1-2 years Experience in social work in a hospital setting preferred 1-2 years Experience in care/case management preferred

Licenses and Certifications

LMSW - Licensed Master Social Worker - State Licensure Valid license in the District of Columbia or the State of Maryland depending on work location required or LGSW - Licensed Graduate Social Worker Valid license in the District of Columbia or the State of Maryland depending on work location required CCM - Certified Case Manager preferred

Knowledge Skills and Abilities

Diagnostic and problem-solving skills. Psychosocial assessment and advocacy skills. Verbal and written communication skills. Basic computer skills.

This position has a hiring range of : USD $29.15 - USD $48.99 /Hr.