PRN Social Work Case Manager - Ambulatory

The Social Work Case Manager, under the direction of the Social Work Manager and Nurse Manager in Case Management, has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services post-hospitalization as established by the healthcare team and executed by the case manager. Responsible for the psycho-social assessment of patients, for post hospital discharge needs including home care, nursing home placement, durable medical equipment, financial assistance, counseling, and other community resources. Ensure appropriate decision makers are informed of and involved in treatment planning.

Responsibilities

Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice; Follows policies, procedures, and standards; Completes psychosocial assessments of patient/family situations; Evaluates psychosocial and medical/nursing information to determine an appropriate social service action/discharge plan; Initiates and participates in family conferences; Facilitates and participates in daily Interdisciplinary Care Coordination (ICC) Huddles; Advocates on behalf of patients and caregivers; Provides supportive counseling; Documents appropriate information in the patient's medical record; Works in partnership with RN Case Manager to ensure timely patient discharge; Participates in performance improvement activities

Requirements

Master's Degree in Social Work; Licensed Social Worker (LBSW) - State Board of Behavioral Sciences LMSW or LSCSW

Nice to have

Experience in a health care setting; Licensed Masters Social Worker (LMSW) - State Board of Behavioral Sciences; Licensed Specialist Clinical Social Worker (LSCSW) - State Board of Behavioral Sciences