Care Coordination Social Worker

Yavapai Regional Medical Center•Prescott, AZ

2d•$36 - $53•Onsite

About The Position

As our Social Worker, you will be responsible for performing social work assessments and interventions as needed for hospitalized and emergency department patients. Every day, you will conduct psychosocial assessments, participate in crisis intervention, patient/family intervention, high-risk screening, brief counseling, referrals for financial or other identified resource needs, arrange and facilitate family/patient representative meetings with the health care team as needed, arrange post-acute placement on complex discharges and engagement of appropriate agencies or community resources when high-risk patients are identified. To be successful in this role, you will possess exceptional interpersonal skills, empathy, strong knowledge of community resources, and proven crisis management abilities, fostering positive change and client empowerment. Providing developmentally appropriate care for all populations served: plan for the safe discharge and continuity of care, recognize and plan for the unique needs of all ages, the physically disabled, mentally ill, chronically ill, terminally ill, and vulnerable patients. Advocacy and education: patient/family self-care management; patient/family health management education; bioethics referrals and management; physician, staff, and community education; case/care management/coordination education and training; risk management identification and referral. Community Resource Coordination: life-care planning; expert consultation on health care resource management; team and patient education regarding various health-related insurance/support programs (e.g. CCS/Medicare/Medicaid/SSI); building and maintaining community relationships to address needs of patients experiencing homelessness and to meet other social determinants of health needs.

Requirements

Masters Other Social Work
Master Social Worker: AZ (MSW:AZ)
One (1)-year post-MSW experience or Social Work internship in a clinical or medical setting.

Nice To Haves

Three (3)-year post-MSW healthcare experience

Responsibilities

Perform social work assessments and interventions for hospitalized and emergency department patients.
Conduct psychosocial assessments.
Participate in crisis intervention, patient/family intervention, and high-risk screening.
Provide brief counseling.
Make referrals for financial or other identified resource needs.
Arrange and facilitate family/patient representative meetings with the health care team.
Arrange post-acute placement on complex discharges.
Engage appropriate agencies or community resources for high-risk patients.
Provide developmentally appropriate care for all populations, including safe discharge planning and continuity of care.
Recognize and plan for the unique needs of all ages, the physically disabled, mentally ill, chronically ill, terminally ill, and vulnerable patients.
Provide patient/family self-care management and health management education.
Manage bioethics referrals.
Provide physician, staff, and community education.
Provide case/care management/coordination education and training.
Identify and refer risk management issues.
Engage in life-care planning.
Provide expert consultation on health care resource management.
Educate team and patients regarding health-related insurance/support programs (e.g., CCS/Medicare/Medicaid/SSI).
Build and maintain community relationships to address needs of patients experiencing homelessness and to meet other social determinants of health needs.