Social Worker Case Manager

Inova Health System; Falls Church (VA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental & vision

Retirement match

Education assistance

Student loan repayment

Mental health support

Paid time off

Parental leave

Flexible schedules

Job summary

Inova Fairfax Hospital in Falls Church, VA is seeking a dedicated Social Worker Case Manager to join the Case Management Team to support patient-centered care.

The role includes biopsychosocial assessments, discharge planning, care coordination with the interdisciplinary team, advocacy, and resource linking.

Requirements include MSW, at least 1 year of clinical experience, and BLS certification; Inova offers comprehensive benefits and growth opportunities.

Qualifications

• Assess patients' biopsychosocial needs and coordinate care.
• Collaborate with interdisciplinary team to plan discharges.
• Advocate for patient/family autonomy and access to services.

Responsibilities

• Assess biopsychosocial needs and communicate care plans.
• Ensure options for discharge and continuity of care are documented.
• Assess psychosocial risk factors and provide counseling.
• Provide discharge planning and post-discharge coordination.
• Facilitate referrals to clinics, home health, hospice and other services.
• Collaborate with care team and families in discharge planning.

Skills

Biopsychosocial assessment

Care coordination

Advocacy

Emotional support

Interdisciplinary collaboration

Education

Master's Degree in Social Work (MSW)

Job description

Inova Fairfax Hospital is looking for a dedicated experienced Social Worker Case Manager to join the Case Management Team.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Social Worker Case Manager 1 Job Responsibilities:

• Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.
• Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression.
• On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope.
• Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability.
• Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services.
• Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings
• Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
• Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community.

Minimum Requirements:

• Education: Master's Degree in Social Work (MSW)
• Experience: Requires a minimum of 1 year of experience in clinical care or clinical case management.
• Certification: Basic Life Support (BLS) for Healthcare Provider certification from the American Heart Association required upon start.

Preferred Qualifications:

• 1- 2 years of previous Inpatient (hospital) case management experience and case management discharge planning is highly preferred.