Care Coordinator MSW

Nevada System of Higher Education•Arlington Heights, IL

8d•$30 - $46•Onsite

About The Position

The Care Coordinator MSW plays a crucial role in supporting patient populations with chronic illnesses and multiple co-morbidities. This position involves collaborating with a multidisciplinary team, including Continuum Care Managers, Case Managers, Care Navigators, Physicians, and Nursing staff, to provide comprehensive patient care. The role adheres to established care management standards, incorporating evidence-based protocols and cost-effective, patient-focused interventions. Responsibilities include coordinating care between various departments, medical clinics, and community outreach programs to ensure patient safety, smooth transitions of care, and effective utilization management. The Care Coordinator applies social work methods for assessment, education, collaboration, and resource coordination to help patients achieve optimal functional health status and improve their quality of life. Support services extend to Endeavor patients and value-based contract members, encompassing care coordination and counseling. The role also involves intervening in critical situations such as child abuse/neglect, domestic violence, guardianship, mental health placement, substance abuse, advance directives, adult/elderly/disabled abuse and neglect, and sexual assault. Ensuring safe patient care while adhering to policies, procedures, and budgetary specifications is paramount. Additionally, the Care Coordinator initiates and facilitates Advance Care Planning and goals of care discussions, considering the developmental stages and social/behavioral issues impacting the patient's illness and recovery process. Family and guardian involvement in the plan of care and patient/family education are key components of this role.

Requirements

Master’s Degree in Social Work required from an accredited school of Social Work.
Illinois licensure as LSW or LCSW; LCSW preferred.
Licensed Social Worker (LSW) certification.
1 to 2 years of social work experience in an acute care setting preferred.

Nice To Haves

Able to communicate effectively and work collaboratively with a range of stakeholders and team members.
Able to identify appropriate community resources on assigned caseload and to work collaboratively with patients, families, multidisciplinary team, and community agencies to achieve desired outcomes.
Act as a subject matter expert.
Teamwork-active participation with performance improvement and other approaches.
Collaborates with the team members to develop effective work processes that my lead too improvement of work.

Responsibilities

Collaborates with Continuum Care Managers, Case Managers, Care Navigators, Physicians, Nursing, PCP & multidisciplinary team to support patient populations with chronic illness and multiple co-morbidities.
Adheres to established care management standards that incorporate evidence based protocols and cost effective, patient focused, targeted interventions.
Provides coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, assure smooth transitions of care, and manage utilization and the total cost of care.
Applies social work methods to skilled assessment, education, collaboration, and coordination of healthcare and community resources to achieve the following: assist patients to gain self-efficacy/management skills, achieve optimal functional health status, and improve quality of life.
Assists patient/families, care team, and systems to achieve high quality outcomes through face to face and telephonic interactions.
Provides support services to Endeavor patients and all of its value-based contract members including but not limited to care coordination and counseling.
Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), mental health placement, substance abuse, advance directives, adult/elderly/disabled abuse and neglect, and sexual assault.
Ensures safe care for patients while adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
Initiates and facilitates Advance Care Planning and goals of care discussions with patient and family as appropriate and also as programmatically indicated through patient risk stratification program(s).
Demonstrates the knowledge and skills necessary to assess and care for the assigned age groups(s) of patients.
Implements assessment and care based on the developmental stages of the patient.
Involves family/guardian in the plan of care and conducts patient and family education, as appropriate, considering the developmental needs of the patient and the impact of social/behavior issues on the illness and recovery process.