Clinical Social Worker: Care Coordination & Discharge

Geisinger

Scranton (Lackawanna County)

On-site

USD 55,000 - 75,000

Full time

14 days+
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Job summary

Geisinger in Scranton, PA seeks a Social Worker to coordinate psychosocial care and discharge planning, partnering with patients, families and healthcare teams to ensure comprehensive support across the continuum.

The role focuses on identifying high-risk patients, providing counseling and referrals, and integrating psychosocial considerations into care plans. A MSW is required; two years of related experience is preferred.

Qualifications

  • Master of Social Work (MSW) or MSSA is required upon hire.
  • Minimum of 2 years' related work experience preferred.

Responsibilities

  • Interacts with patients, family members, healthcare professionals, and community and state agencies.
  • Liaises between the hospital and community agencies for exchange of clinical and referral information.
  • Identifies high-risk patients and assesses psychosocial needs.
  • Provides information, support, counseling, care management and referrals.
  • Works with the interdisciplinary team to coordinate care across the continuum.

Education

Master of Social Work (MSW)

Job description

Job Summary

The Caseworker works in collaboration with the team and assists in the coordination of care for mental health, behavioral and social needs. Facilitates communication between patients, families, healthcare professionals, community and state agencies and other interdisciplinary team members. Responsible to assist with the implementation of care plan and coordination of behavioral health and social services. The Social Worker works in collaboration with the team and assists in the coordination of care for mental health, behavioral and social needs. Facilitates communication between patients, families, healthcare professionals, community and state agencies and other interdisciplinary team members. Responsible to assist with the implementation of care plan and coordination of behavioral health and social services. This position is UNION role within Care Management Department

Job Summary

The Caseworker works in collaboration with the team and assists in the coordination of care for mental health, behavioral and social needs. Facilitates communication between patients, families, healthcare professionals, community and state agencies and other interdisciplinary team members. Responsible to assist with the implementation of care plan and coordination of behavioral health and social services. The Social Worker works in collaboration with the team and assists in the coordination of care for mental health, behavioral and social needs. Facilitates communication between patients, families, healthcare professionals, community and state agencies and other interdisciplinary team members. Responsible to assist with the implementation of care plan and coordination of behavioral health and social services. This position is UNION role within Care Management Department

Caseworker:

Job Duties

  • Functions as a member of a professional team which provides evaluation and treatment for psychiatric patients including but not limited to: psychological assessment, crisis intervention, case management, patient advocacy, care coordination, and community outreach
  • Provides input in treatment decisions; presents specific treatment plans for approval.
  • Obtains information from patients and other appropriate sources upon which treatment recommendations are initiated, records all information in medical record.
  • Involves patient, family and others as appropriate in delivery of care and treatment recommendations.
  • Works with patient to determine goals to be achieved during course of treatment.
  • Makes arrangements for the safe and expedient transfer of patients as required.
  • Acts as a resource of information for Division members, patients, referral sources, etc.
  • Assists with provider schedule maintenance.
  • Sets up appointments, arranges for follow-up treatment as indicated.
  • Strives to support quality patient care, patient satisfaction and to assist in the accomplishment of related goals.
  • Assists with insurance verification and authorization procedures.
  • Part of interdisciplinary team that ensures the patients progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective.
  • Interacts with patients, family members, healthcare professionals, and community and state agencies. Serving as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
  • Identifies high risk patients from a psychosocial/financial perspective, assesses they psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources.
  • Resolve psychosocial patient care issues and to develop and implement a complex patient transition/discharge plan.

Social Worker:

  • Functions as a member of a professional team which provides evaluation and treatment for psychiatric patients including but not limited to: psychological assessment, crisis intervention, case management, patient advocacy, care coordination, and community outreach
  • Provides input in treatment decisions; presents specific treatment plans for approval.
  • Obtains information from patients and other appropriate sources upon which treatment recommendations are initiated, records all information in medical record.
  • Involves patient, family and others as appropriate in delivery of care and treatment recommendations.
  • Works with patient to determine goals to be achieved during course of treatment.
  • Makes arrangements for the safe and expedient transfer of patients as required.
  • Acts as a resource of information for Division members, patients, referral sources, etc.
  • Assists with provider schedule maintenance.
  • Sets up appointments, arranges for follow-up treatment as indicated.
  • Strives to support quality patient care, patient satisfaction and to assist in the accomplishment of related goals.
  • Assists with insurance verification and authorization procedures.
  • Part of interdisciplinary team that ensures the patients progress in the acute episode of care through post discharge and is quality driven while being efficient and cost effective
  • Interacts with patients, family members, healthcare professionals, and community and state agencies. Serving as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information.
  • Identifies high risk patients from a psychosocial/financial perspective, assesses they psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources.
  • Resolve psychosocial patient care issues and to develop and implement a complex patient transition/discharge plan.

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Position Details

This is a UNION role with non-negotiable rates of pay based off of education and years of experience *

Education:

Caseworker:

  • Bachelor's in related Field of Study

Social Worker:

  • Master's/Bachelor's in Social Work

Hours: 8am - 4:30pm

Benefit Highlights:

  • Full benefits (health, dental and vision) starting on day one
  • Three medical plan choices, including an expanded network for out-of-area employees and dependents
  • Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contribution
  • Company-paid life insurance, short-term disability, and long-term disability coverage
  • 401(k) plan that includes automatic Geisinger contributions
  • Generous paid time off (PTO) plan that allows you to accrue time quickly
  • Up to $5,000 in tuition reimbursement per calendar year
  • MyHealth Rewards wellness program to improve your health while earning a financial incentive
  • Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
  • Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more
  • Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance

Education

Bachelor's Degree-Related Field of Study (Required), Bachelor's Degree-Social Work (Preferred)

Experience

Minimum of 2 years-Related work experience (Preferred)

Certification(s) and License(s)

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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