Case Management Social Worker - Good Samaritan Hospital
Job description
Job Description:
Under the general supervision of the Supervisor-Case Management Social Work, plans, organizes and implements social work for patients and families. Works in a team type assignment or Care Continuation Team (CCT) model (Case Management Nurse and Social Worker teams are assigned to physician practices) to address patient care transition needs.
Duties and Responsibilities
- Assesses patients/families in need of psycho-social support throughout the patient’s hospitalization and assists patients who require post acute care coordination or community resources referrals. Advocates for patient self-determination and appropriate level of care.
- Identifies discharge plan by making arrangements for psycho-social, psychological and practical assistance across the continuum of care. Actively engages the patient and family in the assessment, problem solving and referral process including transfer and discharge plans.
- Notifies patient/clinical team of potential referrals, documents on the medical record in a timely fashion: psycho-social assessments, identified plan, barriers, changes and progress toward plan completion. Notifies final outcome and patient satisfaction.
- Interacts with the interdisciplinary team in the development of the discharge plan addressing the patient’s/family’s psycho-social support.
- Coordinates family meetings. Assists patients and families in navigating the healthcare system.
- Performs a variety of functions to address patient’s psycho-social needs with referrals for counseling, community services, protective services, and financial assistance referrals (MA application).
Qualifications
- Notes:
- Must be degreed in social work or social welfare per PA Act 68 of 2008
- Minimum Experience:
- 6 - 12 months
- Minimum Education:
- Bachelor's Degree
- Required Certification:
- BLS Certification
- Preferred Certification:
- Social work license in PA
- Skills:
- Excellent interpersonal/communications skills; basic computer skills
- Able to maintain confidentiality; Able to act in a professional manner; Maintains job competency
Location: WellSpan Health · Case Mgmt Operations-Lebanon
Schedule: Full Time, Day, 7:30 - 4pm
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