SOCIAL WORKER MSW PER DIEM

Carson Tahoe Health; Carson City (NV); On-site; USD 75,000 - 95,000; Full time

Job summary

Carson Tahoe Health in Carson City, NV is seeking a Social Work Case Manager to coordinate care across the continuum, facilitate safe transitions, and reduce readmissions by aligning patient resources with goals.

The role requires MSW from an accredited school, NV licensure (LSW/LMSW/LCSW), strong communication, organizational and problem-solving skills, and ability to conduct psycho-social assessments and collaborate with care teams.

Qualifications

• Master in Social Work from an accredited school of Social Work.
• Unrestricted licensure in the State of Nevada (LSW, LMSW, or LCSW).
• Excellent interpersonal and written/verbal communication skills.

Responsibilities

• Complete initial/comprehensive assessment within 24 hours of admission and plan transitions.
• Provide psycho-social assessment and interventions for behavioral health and social barriers.
• Coordinate care with health care team and post-acute providers; document in EMR.
• Screen high-risk patients for psycho-social issues and collaborate with teams.
• Educate patients and families about discharge plans and resources.
• Ensure compliance with regulations and participate in quality initiatives.
• Lead complex case conferences and manage post-acute referrals within 3 days.

Skills

Interpersonal skills

Written and verbal communication

Organizational skills

Critical thinking

Problem solving

Computer literacy

Education

Master of Social Work (MSW)

Nevada licensure options (LSW/LMSW/LCSW)

Job description

US:NV:Carson City | Nursing Support | Per Diem

Posted 7 days ago

Description

US:NV:Carson City Case Management

Summary

This individual is responsible to facilitate care through the continuum utilizing effective resource coordination to promote optimal access to care balancing the patients’ resources and right to self-determination

The overall responsibility to assess the patient for transition of care needs and risk for readmission

This individual will be able to conduct complex psycho-social assessments and provide interventions to assist with throughput, safe discharges and avoid readmissions

Has focus on complex social and post-acute care services

Qualifications

Required:

• Master in Social Work from accredited school of Social Work
  • Excellent interpersonal, written and verbal communication skills
  • Demonstrated organizational skills, critical thinking and problem solving skills and computer literacy
  • Unrestricted licensure in the State of Nevada in one of the following:
    • Licensed Social Worker (LSW)
    • Licensed Masters Social Worker (LMSW)
    • Licensed Clinical Social Worker (LCSW)

Preferred:

Two (2) years of acute care coordination experience

Ability to obtain Accredited Case Manager (ACM) certification

Essential Functions

• Transition Management
  • Completes initial /comprehensive assessment within 24 hours of admission, including anticipated transition (discharge) plan
  • Provides psycho-social assessment and intervention for patients identified with behavioral health issues, lack of social support systems, financial barriers, end of life and plan of care adherence
  • Ensures plan of care and interventions are implemented and communicated to health care team, patient/family and post-acute care providers
  • Complete timely, accurate and concise documentation in the Electronic Medical Record
• Care Coordination
  • Screens high risk and referred patients for psycho-social issues/barriers, that may impact the transition plan and intervenes as appropriate
  • Assists with adoption/abuse/neglect cases and reports to appropriate external agencies as required
  • Collaborates with patient/family/health care team to ensure patient preferences and choices are taken into consideration within the limitations of available resources
• Education
  • Ensure patient/ family receive education appropriate to their specific discharge plan
  • Provides education to medical and nursing staff regarding relevant issues related to transition plan
  • Precepts new staff members and acts as resource to all staff
• Compliance
  • Ensures compliance with local, state and federal regulations and accreditation requirements
  • Operates within social work scope of practice as defined by the state licensing board
  • Participates in department Quality improvement initiatives
• Complex Case Management
  • Completes clear, concise and accurate initial/discharge planning/complex psycho-social assessments and reassessments per departmental guidelines (assessments within 24 hours of admission, reassessments every 3 days or as needed for change)
  • Escalates barriers to transition planning per departmental escalation plan
  • Completes post-acute referrals within 3 days of admission
  • Schedules and facilitates complex case patient/family conferences as needed (at a minimum of weekly)
• Performs other related duties as assigned.