Outpatient Care Coordinator BSW
Outpatient Care Coordinator BSW
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Job Description
Overview
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nations largest nonprofit Catholic healthcare organizations CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2300 clinics care sites and 137 hospital-based locations in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157000 employees 45000 nurses and 25000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care community benefits and unreimbursed government programs. Together with our patients physicians partners and communities we are creating a more just equitable and innovative healthcare delivery system.
Responsibilities
Job Summary / Purpose
Social Determinants of Health can have a major impact on a patients healthcare. As a member of a multidisciplinary team in the Outpatient CHI Health Clinics the Social Worker-Outpatient Care Coordinator is responsible for assessing and providing support and intervention for the social and emotional needs of patients and their families to promote improved health continuity of care and services in the outpatient setting.
Works collaboratively with physicians staff and other health care professionals within his/her clinically integrated network (CIN) CHI Health Partners to maintain and improve quality and sustainability within the CIN. Includes:
- Understands and self-manages to support CIN-level success goals including improvements in quality cost of care and member experience for the CINs population.
- Identifies opportunities for improvement (at individual clinic and CIN levels) and actively works with the healthcare and CIN team to correct or improve results.
Essential Key Job Responsibilities
- Assists in the identification of member populations needing care coordination and social work intervention.
- Acts as a liaison with patients and families to physicians clinical staff community resources and others.
- Conducts a psychosocial assessment and acts as a patients advocate by responding to and working with patients to address needs and resolve their concerns.
- Provides Health Promotion activities and education for patients.
- Functions as an active team member by effectively collaborating communicating and coordinating among all responsible parties of an individual patients multidisciplinary health care team striving to eliminate fragmentation duplication or gaps in health care.
- Optimizes patient and family independence and self determination by providing education and health coaching and assisting with improving problem solving and coping skills as needed.
- Works with patients families and caregivers in the primary care and specialty clinics to address barriers that may be affecting the patients health including economic needs behavioral issues services in home disability out of home placement etc.
- Identifies and links families to community resources.
- Other duties as assigned within Population Health Care Management
Qualifications
Required Education and Experience
Bachelor of Social Work (BSW) required
Required Licensure and Certifications
Current/Active Certification to practice Social Work in the State of Nebraska is required (CSW)
Required Experience:
IC
Employment Type
Unclear
