Clinical Care Social Worker

Naswtx; Bridgeport (WV); In loco; USD 52.000 - 78.000; Tempo pieno

Descrizione del lavoro

UHC United Hospital Center is seeking a skilled social worker to coordinate patient transitions across the care continuum. The role involves psychosocial assessments, crisis intervention, and resource management to support successful discharges.

Collaborate with a multidisciplinary team, navigate social programs, and participate in care planning for patients with complex social needs. On-call and weekend rotations are required.

Competenze

• Masters degree in Social Work required.
• Current social worker licensure as required by the state where work is performed.
• WV: LGSW, LCSW or LICSW licensure through the WV Board of Social Work.
• MD: LMSW or LCSW-C licensure through the Maryland Board of Social Work.
• One to three years of experience preferred.

Mansioni

• Manages all aspects of transition/discharge planning for assigned patients in a timely manner using escalation processes as needed.
• Collaborates with the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
• Monitors patient progress and ensures the plan of care is patient-focused, high quality, efficient, and cost effective.
• Maintains knowledge of federal, state, and local assistance programs and community resources.
• Provides education to staff, physicians, patients, and families to ensure effective transition planning.
• Meets with patient/family to assess needs and develop an individualized discharge plan with the physician team.
• Provides social work assessment and interventions for complex crises including mental health, substance abuse, and grief/loss.

Conoscenze

Interpersonal communication

Negotiation

Crisis intervention

Formazione

Masters degree in Social Work

LGSW or LICSW (WV)

LMSW or LCSW-C (MD)

Descrizione del lavoro

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

This position comprehensively plans for the coordination of care for the WVU Medicine patient population across the continuum. Performs psychosocial assessments, crisis intervention, resource management, discharge planning, care facilitation, and referrals to alternate levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes. The position intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources, and qualify for community assistance from a variety of special funds and agencies. In addition, may offer crisis intervention to patients and families with psychosocial needs and collaborates with the patient care team in the development of a transition/discharge plan of care for all patients.

Minimum Qualifications

Education, Certification, and/Or Licensure

• Masters degree in Social Work
• Current social worker licensure as required by the state where work is being performed.
• WV: Licensed Graduate Social Worker (LGSW), Licensed Certified Social Worker (LCSW) or Licensed Independent Social Worker (LICSW) through the West Virginia Board of Social Work
• MD: Licensed Masters Social Worker (LMSW) or Licensed Certified Social Worker – Clinical (LCSW-C) through the Maryland Board of Social Work

Preferred Qualifications

Experience

• One to three years of experience preferred

Core Duties and Responsibilities

• Manages all aspects of transition/discharge planning for assigned patients in a timely manner using escalation processes as needed when barriers encountered.
• Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload
• Monitors the patient’s progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective
• Maintains extensive knowledge of federal, state, and local assistance programs and community resources that affect patient needs.
• Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the National Association of Social Workers as well as the State Board of Social Workers.
• Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning
• Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team
• Provides social work assessment and interventions for complex crisis including but not limited to mental health, substance abuse, adjustment to health status and grief/loss situations.
• Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning
• Initiates and facilitates referrals to post-acute services- including but not limited to- Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities
• Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family. Assists other team members to understand and appreciate a patient and/or family’s reaction to a serious illness and/or chronic illness/disease as well as to understand other environmental factors affecting care, treatment and compliance.
• Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to regulatory policies and procedures.
• Working knowledge of patient’s current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers etc.
• Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives
• Utilizes clinical skill and expertise to provide assessment, intervention, and where appropriate, reporting for complex abuse, neglect, Foster Care, adoption, Mental health placement, homelessness, domestic violence, and sexual assault situations.
• Collaborate for appropriate resource and financial management which may include but is not limited to-financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination
• Communicates with the Care Management Resource Center and/or third party payors to facilitate covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case by case basis with clinical staff (Ie: peer to Peer) and follows up to resolve problems with payors as needed
• May require occasional coverage to outpatient services including but not limited to LVAD assessment/services, Transplant psychosocial assessments and services and for coordination of discharge services with the outpatient organ transplant/LVAD clinic staff.
• Uses quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions
• Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials
• Fosters the integration of staff and/or students into the healthcare team
• Exhibits professional behavior on a consistent basis
• Required on call and weekend/holiday rotations as needed

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Working Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Skills and Abilities

• Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues.
• Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open minded, and adaptable to change
• Capable of independent judgment and action regarding psychosocial needs of patients.

Additional Job Description

Monday - Thursday Four-10 hour shifts - Emergency Room SHIFT: 9:00 AM - 7:30 PM

Scheduled Weekly Hours: 40

Exempt/Non-Exempt

United States of America (Exempt)

Company

UHC United Hospital Center

Cost Center

405 UHC Quality Management

Address

327 Medical Park DriveBridgeportWest Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.