Social Worker MSW - Per Diem

Jupiter Medical Center, Inc.; United States; On-site; USD 60,000 - 85,000; Full time

Job summary

Jupiter Medical Center, Inc. seeks a Master’s level Social Worker to coordinate discharge planning and ensure smooth transitions for patients across acute care, SNF, LTAC, and home health providers.

Under supervision of the Director of Case Management, you will craft comprehensive discharge plans, coordinate multidisciplinary teams, and maintain thorough documentation to meet regulatory standards and ensure optimal patient outcomes.

Qualifications

• Master’s degree in social work required.
• ACM Social Worker certification preferred.
• 2 years acute care experience, SNF, or home health experience.
• Proficient assessment skills for psychosocial needs and transition planning.

Responsibilities

• Coordinate comprehensive discharge planning with DME, SNF, LTAC, HHC and other providers.
• Develop and document discharge plans, including destination, transportation, and follow-up care.
• Lead and participate in family meetings to ensure understanding and agreement on the transition plan.
• Maintain accurate documentation in the medical record and communicate with the care team.

Skills

BLS Certification

Communication skills

Time management

Empathy

Education

Master’s degree in social work

Job description

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; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills. Acting with Integrity Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments. Being a Champion for Change and Innovation Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes. Accepts new ways of doing things and adapts to change. Communicating Effectively Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Is adept at tailoring the message to fit the interests and needs of the audience. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization. Promoting Diversity and Inclusion Treats all people with dignity and respect. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenge’s bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.

Physical Requirements:

Hand and Wrist (Test both left and right sides) Grip a dynamometer for 10 seconds with a force > 10 lbs. Pinch together the thumb & forefinger for 10 seconds with a force > 2 lbs. Supported Elbows (Test both left and right sides) Rotate wrist from left to right while holding 10 lb. weight. Fully flex and extend elbow while holding a 10 lb. weight. Shoulders (Test both left and right sides) Sustain shoulder flexion > 135 degrees while holding 10 lb. weight. Sustain a shoulder shrug while holding 10 lb. weight in each hand. Legs, squat and hold position for 30 seconds. Kneel on a single knee, demonstrated on either left or right knee. Push and Pull, push a stationary loaded cart with a pushing force of 40 lbs. Pull a stationary loaded cart with a pulling force of 40 lbs. Carrying, carry a 20 lb. weight for 25 feet. Lifting, Weight lifted during lift test (35lbs. Female - 50lbs. Male requirement) Floor to Table, Waist to above shoulder height (20 lbs requirement). Threshold Requirements These threshold requirements are required and completed yearly basis. Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. TB/PPD Surveillance Program Maintenance of required professional licensing and/or certification(s).

Threshold Requirements:

Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. TB/PPD Surveillance Program Maintenance of required professional licensing and/or certification(s).

Other Information:

Our growth is creating great opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it! So once you've had a chance to explore our current open positions, apply to the ones you feel suit you best and keep track of both your progress in the selection process, and new postings that might interest you! Thanks for your interest in working on our team!! Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.