Social Worker MSW - Per Diem

Jupiter Medical Center Physicians Group, Inc.; United States; On-site; USD 60,000 - 80,000; Full time

Job summary

Jupiter Medical Center Physicians Group, Inc. is seeking a Social Worker with a Master’s degree in social work to coordinate discharge planning across DME, SNF, LTAC and home health providers.

The MSW social worker will craft comprehensive transition plans, review them with patients and families, and ensure team alignment and timely documentation. Experience with psychosocial interventions in acute settings, knowledge of community resources, and strong communication skills are essential.

Qualifications

• Master's degree in social work required.
• ACM Social Worker certification preferred.
• 2 years acute care experience, SNF, or home health experience.
• Knowledge of community resources and the healthcare system.
• BLS Certification American Heart Association for Healthcare Providers.
• Excellent verbal and written communication skills.
• Highly organized, empathetic, and capable of multitasking in a high-stressed environment.

Responsibilities

• Discharge planning coordination with DME, SNF, LTAC, HHC and other providers.
• Craft comprehensive discharge plans including destination, transportation and follow-up care.
• Review and discuss plans with patient, family and care team to ensure understanding and agreement.
• Coordinate family meetings and provide psychosocial interventions as needed.
• Maintain accurate documentation in the medical record and ensure compliance with regulatory requirements.

Skills

Establishing relationships

Peer support

Inspiring and motivating others

Emotional intelligence

Verbal and written communication

Customer service

Negotiation

Education

Master's degree in social work

ACM Social Worker certification (preferred)

Job description

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education: Master's degree in social work required. ACM Social Worker certification preferred

Experience / Qualifications: 2 years acute care experience, SNF, or home health experience. Knowledge of community resources, general information of the healthcare system. BLS Certification American Heart Association for Healthcare Providers. Highly organized, empathetic, and capable of multitasking in a high-stressed environment. High ability to set priorities, conflict management, and time management. Pleasant personality and phone etiquette. Excellent verbal and written communication skills. High skill level in computer and other peripheral systems. Customer service and negotiation skills are a must. Responsible for assuring all state and federal documents are reviewed and completed timely and accurately. Proficient assessment skills in identifying psychosocial needs, barriers to transition planning and home needs. Ability to handle difficult situations in a way that promotes best outcomes for the patient and fiscally responsible for the patient and organization. Effective time management skills. Understanding of state and federal documentation requirements and compliance to these regulations. Experience providing psychosocial interventions and therapy to acute ill patients and/or their family.

Position Summary

Under the supervision of either the Director of Case Management and direction, the social worker will provide accurate information to DME, SNF, LTAC, HHC agencies and other providers along the patients' continuum of care. Teamwork is essential to implement the discharge plan with compliance of all regulatory agencies (ACHA, CMS, The Joint Commission, etc.). The MSW Social worker oversees coordinating patient discharge evaluations. The Social Worker is responsible for crafting a comprehensive discharge plan including where the patient is going, how the patient will get there and who the patient will see in the next phase of their treatment. Reviews and discusses the plan with the patient, family, representative and multidisciplinary care team to ensure all parties understand and agrees to the transition plan. Document accordingly in medical record. Coordinates planning an evaluation among various disciplines responsible for patient care. Responsible for coordinating family meetings when requested by the physician, family, or nursing team in an effort to provide a smooth transition to the next level of care and provide transparency in the transition plan. When identified during the initial transition planning assessment by either the primary RN Case Manager and/or social worker the MSW social worker may provide psychosocial interventions and document accordingly. After the patient is discharged from the hospital, the Social Worker remains available to answer any questions or provide new referrals if necessary. Knowledge of social and physical factors that affect functional status at discharge is essential in delivering a comprehensive and successful discharge plan. The Social Worker has a broad knowledge of local and federal community resources to help assist in safe discharges. Maintaining a complete and accurate file of appropriate community-based services, supports, and facilities where the patient can be transferred or referred. These services, supports, and facilities include Nursing Facility (NF) or Skilled Nursing Facility (SNF) care, long-term acute care, rehabilitation services, home Health care, Hospice, or other appropriate care. Performs other duties as assigned.

Team Member Competencies

• Establishing Relationships Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.
• Peer Support Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
• Inspiring and Motivating Others Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments. Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow.
• Demonstrating Emotional Intelligence Exercises self-leadership, self-awareness, and self-regulation