Ambulatory Social Worker

Kansas Health System; Great Bend (KS); On-site; USD 55,000 - 75,000; Full time

Job summary

Kansas Health System is seeking an Ambulatory Social Worker to provide psychosocial support across clinic, home health, and hospice settings. You will assess patients of all ages, coordinate care, and connect families with community resources while maintaining documentation and regulatory compliance.

Role emphasizes collaboration with clinicians, education of patients and families, and advocacy to access services, ensuring timely linkage and effective discharge planning within a compassionate

Qualifications

• Master's degree in Social Work required.
• 1+ years in case management/care coordination or discharge planning.
• Healthcare setting experience preferred.
• LMSW licensure must be obtained within 60 days of hire.
• BLS certification (or complete within two weeks of employment).

Responsibilities

• Perform psychosocial assessments to support community resources.
• Coordinate care and linkage to services for patients and families.
• Document in medical records and plan of care.
• Participate in multidisciplinary team meetings.
• Advocate for patients and navigate complex social systems.
• Educate patients on available resources.
• Ensure compliance with state and federal documentation regulations.

Skills

Psychosocial assessment

Care coordination

Advocacy

Family communication

Education

Master's degree in Social Work

LMSW licensure within 60 days

Job description

Position Summary / Career Interest

The Ambulatory Social Worker has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families in both clinic and home health and hospice settings. Primary role is to collaborate, communicate and facilitate coordination of services. Responsible for the psychosocial assessment of patients, coordination of care and linkage to community resources, providing emotional support to patients and their families, and assessing and addressing emotional needs related to health. Ensure appropriate decision makers are informed of and involved in treatment planning. Apply pertinent state and federal regulations regarding documentation and reporting requirements.

Responsibilities and Essential Job Functions

• Complete psychosocial assessment on patients/family/support situations including social, psychological, emotional, financial, and other relevant factors to facilitate patients' linkage to resources to support care in the community.
• Identifies and utilizes all relevant information (medical/nursing needs, social work knowledge base, disease process, knowledge of community resources) to accurately and thoroughly assess the patient's psychosocial situation.
• Assesses and addresses emotional needs related to health.
• Documents appropriate information in the patient's medical record to ensure communication of patients' psychosocial needs for care in the community. Documentation includes initial contact and follow-up action plan.
• Initiate timely plan for plan of care and modify plan as needs are identified and resources are determined.
• Participate in multidisciplinary health care team meetings, provide relevant information in relationship to patient, options, and services. Identify actual and potential challenges and facilitates interventions to mitigate barriers to successful implementation of care plans.
• Maintain regular contact with patients, families, and caregivers regarding anticipated needs, plans, date, treatment options, resources, and assistance, etc.
• Advocate on behalf of patients, families and caregivers' access to services; assist in navigating complex social systems.
• Maintain current knowledge of available resources and maintains adequate supply of resource materials for patients, families, and caregivers.
• Educate patients, families and caregivers on effective ways to mobilize existing resources.
• Complete reports to Protection Report Center on suspected patient abuse, neglect, and or exploitation.
• Demonstrate flexibility and teamwork, assist staff in the event of fluctuating census, patient emergencies, etc.
• Plan daily routine to properly organize tasks and demonstrate willingness to meet immediate patient needs effectively and efficiently.
• Supports the financial viability of the health system utilizing established procedure and appropriate resources to expedite safe and timely discharges.
• Works in partnership with physician and nursing staff to ensure timely linkage to services.
• Utilizes established procedures and appropriate resources in working with third party payors to ensure safe and timely coordination of care.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

Masters Social Work

Preferred Education and Experience

1 or more years experience in case management/care coordination/discharge planning.

Experience in health care setting

Experience in health care setting

Required Licensure and Certification

Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA) or much complete BLS certification within the first two weeks of employment.

Licensed Masters Social Worker(LMSW) - State Board of Behavioral Sciences must be obtained within 60 days of hire

Time Type

Full time

Job Requisition ID

R-57830

Important information for you to know as you apply

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion .

The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail] .

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