Social Worker II-Full Time Days

capefearvalley; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC, is seeking a Social Worker to comprehensively plan services for targeted populations. You will conduct psychosocial assessments, crisis intervention, discharge planning, and coordinate referrals to support patients and families across the continuum of care.

The role requires regular face-to-face interviews, proactive assessments, and collaboration with the care team to ensure timely, appropriate discharge or transfer planning.

Qualifications

• Bachelor's degree in Social Work required.
• MSW preferred and professional certification in case management or social work preferred.
• 3 years' experience in Social Services, Home Health, Hospice or Acute Care setting required.

Responsibilities

• Conduct psychosocial assessments and crisis intervention.
• Coordinate discharge planning and referrals across the care continuum.
• Document assessments, plans and progress; reassess as needed.
• Assist patients and families with post-acute care options and resources.
• Collaborate with healthcare team to ensure timely, appropriate care delivery.

Skills

Discharge planning

Counseling

Interpersonal communication

Advocacy

Team collaboration

Education

Bachelor's degree in Social Work

MSW preferred

Tools

Midas

ProviderLink

ValleyLink

eHIM

SMS

Job description

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Coordination of Care

Job Family

Professional

Work Shift

Days (United States of America)

Summary

Comprehensively plans for services for a targeted population. Responsible for psychosocial assessments, crisis intervention, discharge planning, and coordination of referrals and resource information to patients and families in need of assistance. Independently identifies complex patients as well as receives referrals from nursing and other ancillary staff. Provides an array of social work services to patients and families to promote understanding and resolution of problems related to environmental stress, physical illness, interpersonal conflicts, and other psychosocial issues. Adheres to the patient experience initiatives and champions customer service. Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care.

Major Job Functions

• Conducts face-to-face interviews with patients and family members to develop therapeutic relationships and obtain psychosocial and financial information necessary for the facilitation of appropriate discharge planning
• Performs proactive screenings and assessments for patients' clinical, psychosocial, and discharge planning needs
• Documents assessment, the on-going plan, case progress, intervention(s), and reassesses patients as needed
• Initiates referrals and recommends consults to enable patient to be prepared for safe and timely discharge or transfer
• Assists patient/family in coping with hospitalization, disability, and chronic/terminal illness
• Utilizes communication, negotiation, and advocacy skills with patient, family, healthcare team and community
• Provides information, education to patient/family on community resources and options for post-acute care appropriate to the age of the patient served
• Carries out discharge planning activities to include providing arrangements for Home Health, Hospice, Home Infusion, DME, Outpatient Hemodialysis, Rehab, LTAC, Assisted Living, Rest Home and Skilled Nursing Facility placements
• Provides alternate plan of care options at the appropriate level of care based on patient/family needs and in collaboration with physician and/or designated team members
• Serves as a resource for processing issues such as guardianship, abuse, neglect, power of attorney, healthcare surrogate, advance directives or psychiatric involuntary commitment. Initiates/completes forms required for post-acute placement.
• Serves as a reliable resource for the Acute Care Nurse Navigator for difficult placements, information on Medicaid and disability, and Department of Social Service Referrals
• Consults with the Acute Care Nurse Navigator when clinical explanation of disease processes, clarification of physicians' orders, and other pertinent information is needed to determine, safe appropriate discharge plan
• Other duties as assigned

Minimum Qualifications

• Education and Formal Training : Bachelor's degree in Social Work required
• Education and Formal Training : Master's degree in Social Work (MSW) preferred
• Education and Formal Training : Professional Certification in Case Management or Social Work (CSW, CCM, or ACM) preferred
• Work Experience : 3 years' experience in Social Services, Home Health, Hospice or Acute Care setting required
• Work Experience : Acute Care Case Management experience preferred
• Knowledge, Skills, and Abilities Required : Proficiency in reading, writing, and speaking the English language
• Knowledge, Skills, and Abilities Required : Flexible with scheduled hours to meet the needs of the department, unit, patient and family
• Knowledge, Skills, and Abilities Required : Work is not standardized and requires a high degree of prioritization skills
• Knowledge, Skills, and Abilities Required : Excellent interpersonal communication and negotiation skills
• Knowledge, Skills, and Abilities Required : Ability to communicate effectively and work with people of all social, economic and cultural background
• Knowledge, Skills, and Abilities Required : Proven written, telephonic and electronic communication skills
• Knowledge, Skills, and Abilities Required : Assertive and persuasive in interactions with customers, peers, management and core staff served
• Knowledge, Skills, and Abilities Required : Strong organizational and time management skills
• Knowledge, Skills, and Abilities Required : Proficiency with various computer programs including Microsoft Office, Midas, ProviderLink, ValleyLink, eHIM, and SMS
• Knowledge, Skills, and Abilities Required : Ability to demonstrate respect and team building
• Knowledge, Skills, and Abilities Required : Flexible, open-minded and adaptable to change
• Knowledge, Skills, and Abilities Required : Ability to work collaboratively with department staff, physicians and healthcare professionals at all levels to achieve established goals, improve quality of outcomes, maintain or exceed Joint Commission standards and State mandates as they apply to the department operations

Physical Requirements

• Light carrying and lifting may be required
• Walking may be required to