Social Worker - Care Coordination, Full Time, Day

Mary Washington Healthcare; Fredericksburg (VA); On-site; USD 55,000 - 75,000; Full time

Job summary

Mary Washington Healthcare seeks a Social Worker for Care Coordination. This full-time position involves organizing treatment plans for patients with complex needs, coordinating care amongst providers, and addressing social issues related to healthcare discharge. Applicants must have a Master’s degree in Social Work and preferably experience in healthcare.

Qualifications

• Master's degree in Social Work required.
• Minimum of one year experience in social work required.
• Experience in healthcare field preferred.

Responsibilities

• Coordinates care of patients with clinical partners.
• Develops and communicates discharge plans.
• Provides intervention in cases of child/elder abuse.

Skills

Crisis intervention

Trauma-informed care

Client needs assessments

Education

Master’s degree in Social Work

Tools

Microsoft Word

Windows based programs

Job description

Social Worker - Care Coordination, Full Time, Day

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Social Worker - Care Coordination, Full Time, Day

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Job Summary:

The Social Worker (MSW) will organize and expedite a treatment plan of care for medically complex and difficult social issues related to hospital progression of care. The incumbent will identify discharge needs and develop a discharge plan, promote communication and collaborative coordination amongst care providers, and provide information and education on community resources. Additionally, the position will coordinate care of patients with clinical partners, provide intervention in cases of child/elder abuse/neglect and guardianship issues, and serve as a resource for treatment decisions surrounding end of life and Medical Power of Attorney.

The Social Worker (MSW) has advanced training and has completed additional fieldwork that promotes a higher level in handling difficult conversations, client needs assessments, public assistance resources, crisis intervention, trauma-informed care, and is eligible for LMSW examination.

3 - 12 hour shifts

Essential Functions and Responsibilities:

• Coordinates care of patients with clinical partners; helps patients advance towards realistic and desirable outcomes.
• Serves as a subject matter expert and functions as a resource person for care team members.
• Serves as a primary mentor for new social work Associates in the Care Coordination department and social work student interns.
• Assesses long term and/or future patient care needs by identifying probable changes in level of independence or functional quality.
• Communicates activity status updates regarding treatment plan with clinical partners.
• Provides information and education on community resources to patient and their families.
• Develops, coordinates, and communicates discharge plans with the patient, family members and care team for medically complex and difficult social issues related to hospital progression. Documents assessment and overall discharge plan in medical record.
• Assists with audits and assessments of discharge planning documentation, as well as aides with complex care coordination situations that may arise.
• Partners with leadership to address concerns related to delays in discharge, barriers to discharge and trends noted.
• Serves as point of contact and resource for immediate post-discharge patient needs.
• Provides intervention in cases of child/elder abuse/neglect and guardianship cases.
• Serves as a resource person related to treatment decisions surrounding end of life and Medical Power of Attorney.
• Facilitates meetings and comprehensive care planning with interdisciplinary team. Delegates work to support team members.
• Utilizes post-acute care facilities for safe and effective discharge planning.
• Collaborates with contracted partners associated with financial needs to facilitate post-acute facility placement.
• Conducts psychosocial assessment as needed for development of appropriate discharge plan for medically complex and difficult social issues.
• Participates in planning and implementing quality improvement activities.
• Performs other duties as assigned.
  
  

Qualifications:

• Master’s degree in Social Work required.
• A minimum of one year experience in social work required.
• Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word required.
• Experience in a healthcare field preferred.
• Case Management Certification strongly desired.
  
  

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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