Social Service Case Worker - Clinically Integrated Network

Highmark Health; Monroeville (Allegheny County); On-site; USD 45,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking a Social Service Case Worker to coordinate patient care post-discharge. This role involves collaboration with medical teams to ensure smooth transitions for patients requiring home or extended care services. Ideal candidates hold a degree in social work and relevant clearances, bringing communication and coordination skills to the role.

Qualifications

• Minimum qualification includes a BA/BS in Social Work or related field.
• Background checks required: Act 34, Act 33, and Act 73.
• Preferred: LSW or eligibility for LSW and 1 year experience.

Responsibilities

• Coordinate post-discharge needs for patients.
• Communicate with multidisciplinary teams for discharge plans.
• Facilitate group processes for psychosocial skill development.

Skills

Communication

Collaboration

Patient Coordination

Education

BA/BS Degree in Social Work or related field

Act 34 Criminal Background Clearance Certificate

Act 33 Child Abuse Clearance Certificate

Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Job description

Social Service Case Worker - Clinically Integrated Network

Coordinates patient progress toward achieving quality and cost outcomes; mobilizes resources and manages the system in response to current variances according to pre-established standards.

ESSENTIAL RESPONSIBILITIES:

• Responsible for the coordination and completion of post-discharge needs for patients requiring home care or extended care facility services. (40%)
• Communicates and collaborates with physicians, patients, and outside agencies in the development of the discharge plan in conjunction with the Care Management and Social Work teams for a safe and timely discharge. (40%)
• Communicates and collaborates with physicians and multi-disciplinary team to ensure appropriate management of resources and to attain patient and individualized goals in an appropriate and timely manner, and in the appropriate setting. (10%)
• Facilitates group process related to psychosocial skill development. (10%)

QUALIFICATIONS:

Minimum

• BA/BS Degree in Social Work or related field
• Act 34 Criminal Background Clearance Certificate
• Act 33 Child Abuse Clearance Certificate
• Act 73 FBI Fingerprinting Criminal Background Clearance Certificate

Preferred

• LSW or LSW eligibility
• 1 year experience in a hospital/multidisciplinary health care setting, or at least field placement in hospital social work

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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