Care Coordination Social Worker

CHI Health Good SamaritanKearney, NE
$23 - $32Onsite

About The Position

As our Care Coordination Social Worker you will be a vital part of our interdisciplinary healthcare team, providing essential social work services and advocating for our patients within the hospital and emergency department. You will significantly impact patient outcomes by addressing complex social needs, facilitating safe discharges, and connecting individuals with critical community resources. This role offers an incredible opportunity to leverage your social work expertise to enhance patient well-being and contribute to our organizational values of Compassion, Inclusion, Integrity, Excellence, and Collaboration within a dynamic healthcare environment. Every day you will conduct comprehensive social needs screenings, offering patient and family support while making appropriate referrals for financial assistance, housing, food insecurity, and transportation. You will actively participate in patient/family care conferences, coordinate post-acute placements for complex discharges, and play a crucial role in managing sensitive cases involving abuse, neglect, substance use, and mental health concerns. Expect to develop and maintain strong community relationships, educate patients on available resources, and meticulously document all interventions and care recommendations to ensure seamless care transitions and optimal patient advocacy.

Requirements

  • Certified Social Worker in the State of Nebraska (CSW)
  • Bachelor's Degree in Social Work (BSW)
  • Provide developmentally appropriate care for diverse patient populations, including the elderly, mentally ill, chronically ill, and vulnerable.
  • Identify and address social determinants of health.
  • Exceptional communication skills.
  • Collaborative spirit.
  • Deep understanding of community resources, regulatory guidelines, and evidence-based practices in social work.
  • Proven ability to manage complex cases.
  • Proven ability to engage with various agencies.
  • Proven ability to contribute to readmission prevention efforts.

Responsibilities

  • Conduct comprehensive social needs screenings, offering patient and family support.
  • Make appropriate referrals for financial assistance, housing, food insecurity, and transportation.
  • Actively participate in patient/family care conferences.
  • Coordinate post-acute placements for complex discharges.
  • Manage sensitive cases involving abuse, neglect, substance use, and mental health concerns.
  • Develop and maintain strong community relationships.
  • Educate patients on available resources.
  • Meticulously document all interventions and care recommendations to ensure seamless care transitions and optimal patient advocacy.
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