EH - Social Worker Case Manager

Performs a variety of services with all patient populations, including psychosocial needs assessments, patient/family education regarding community, state, and federal resources.

Provides counseling to patients and families about the impact of hospitalization and illness on well-being.

Requirements:

• Minimum MSW degree or equivalent • 1-3 years of experience

Major Responsibilities:

Assesses all patients referred for social work case management services. Referrals are received from physician orders; nursing orders; multidisciplinary rounds; patient/family requests, and community agencies.

Prescreening for high-risk patients is routinely performed via census review and multidisciplinary rounds.

Performs needs assessments; prioritizes patients needs/choices; and collaborates with the interdisciplinary team, patient/pertinent other, and community resources in order to fully develop/organize treatment plans with optimal outcomes.

Coordinates plans with patient/family; members of the health care team utilizing best practice approaches.

Performs on-going evaluation/readjustment of plans for efficacy; quality; cost effectiveness; and goals/outcomes.

Serves as patient liaison/advocate between care providers; community agencies; and insurance payers.

Advocates for services and funding necessary to meet established outcomes.

Maintains working knowledge of payer requirements.

Additional Responsibilities:

Provides supportive counseling and crisis intervention and advocacy to patients and families.

Works in close collaboration with nurse case manager on all cases and, in particular, cases involving complex biopsychosocial/legal/financial issues to establish and review plan of care.

Prepares and maintains required documentation for each case.

Compliance:

Complies with State and Federal mandates for documentation and reporting.