Social Worker Case Manager - Adult Congenital Heart Disease

Inova Health; Fairfax (VA); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision coverage

Retirement match

Education assistance (tuition)

Student loan assistance

Mental health support

Paid time off

Parental leave

Zusammenfassung

Inova Health in Fairfax, VA seeks a compassionate Social Worker Case Manager to support our Adult Congenital Heart Disease program at Willow Oaks. This is a full-time, Monday–Friday position focused on patient-centered care and care coordination.

The Social Worker Case Manager will assess biopsychosocial needs, coordinate discharge planning, advocate for patients, and collaborate with the interdisciplinary team to remove barriers to care across acute and post-acute settings.

Qualifikationen

• BLS certification required at start.
• At least 1 year of clinical care or clinical case management experience.
• Master's Degree in Social Work (MSW) required.

Aufgaben

• Assesses patients' biopsychosocial needs and communicates with patients, families, and care teams.
• Ensures transition options and care plan continuity are communicated and documented to resolve barriers.
• Performs psychosocial risk assessment and counsels on emotional, social, and financial aspects of illness.
• Coordinates discharge planning and post-discharge services across acute and post-acute settings.
• Acts as liaison between patients, families, and interdisciplinary healthcare team to facilitate referrals and advocacy.

Ausbildung

Master's Degree Social Work (MSW)

Jobbeschreibung

Join our growing team at Inova! We are seeking a compassionate and dedicated Social Worker Case Manager to support our Adult Congenital Heart Disease program at Willow Oaks. This is full time, Monday - Friday opportunity.

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

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.
• Documents relevant discharge planning information in the medical record according to department standards and/or care management plans. Collaborates/communicates with internal/external Case Managers.
• Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.
• Performs other duties as assigned.

Minimum Requirements:

• Certification: Basic Life Support - Upon Start
• Experience: 1 year experience in clinical care or clinical case management
• Education: Master's Degree Social Work (MSW)