Clinical Social Worker 2, PRN
Clinical Social Worker 2, PRN
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Salary Not Disclosed
1 Vacancy
Job Description
- Care Coordination:
- Screen patients to identify needs and prioritize caseload to identify high risk and rising risk patients.
- Coordinate with interdisciplinary team to develop revise (if necessary due to change in patient progress) and implement appropriate discharge interventions to ensure safety and care coordination.
- Accepts responsibility for patients Transitions of Care coordinating provisions for discharge to including follow-up appointments home health community services transportation etc. in order to maintain continuity of care on identified high risk patients.
- Communicate with CRM manager any pertinent findings causing a delay in care coordination safe d/c planning and/or LOS.
- Assessment:
- Completes a thorough assessment with patients history including medical physical social emotional psychological and financial needs that will assist the care team in developing a care plan.
- Identifies barriers to health care both in social and medical need that focuses on the prevention of readmissions.
- Promotes patient self-management educating patients on disease medication access to care self-care support to improve clinical outcomes and increase patient self-efficacy.
- Provide and review the appropriate community resources/services with the patient/family.
- Maintain accurate timely documentation of actions/services in the appropriate EMR and data collection.
- Rounds: (Patient Model of Care Palliative Care and long-stay rounds)
- Actively participate in rounds to ensure continuity of care is communicated with other disciplines and to ensure a reduction in LOS.
- Have knowledge of patient plan of care.
- Document appropriately.
- Report patterns of noncompliance.
- Consults regularly with the inpatient provider PCP Director and Supervisor and other team members to ensure that the transition plan remains relevant appropriate and responsive to changing patient status and/or goals.
- Establish an effective and appropriate means of communicating and collaborating with physicians team members payers and administrators to ensure safe and efficient services.
- Identify need for arrange and facilitate peer consultation/health team meeting/family conference when necessary to advance coordination of complex services/resources and medical and/or social issues.
- Develops and maintains collaborative relationships with the post-acute representatives to ensure safe and confidential and transfer is timely.
- Participates in identifying and achieving the departments PI initiatives and goals. Reports and documents process and safety issues in the Events Tracking system.
- Orients new team members and students.
- Maintain professional development best practices and continuing education for care coordination.
- Assist with special projects and other duties as assigned.
Qualifications :
Education Experience and Qualifications
1. Masters degree in Social Work accredited by Council on Social Work Education (CSWE).
2. LMSW LCSW- C (Licensed Certified Social Worker-Clinical) licensure from the Maryland Board of Social Work Examiners.
3. Minimum three (3) years of post-Masters experience is required.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $33.36-$46.70
Other Compensation (if applicable): n/a
Review the 2024-2025 UMMS Benefits Guide
Remote Work :
No
Employment Type :
Part-time
Employment Type
Part-time
