Care Coordinator MSW

Endeavor Health•Arlington Heights, IL

3d•Onsite

About The Position

The Care Coordinator MSW will collaborate with a multidisciplinary team to support patient populations with chronic illnesses and multiple co-morbidities. This role involves adhering to care management standards, providing coordination between departments and community resources, and applying social work methods to improve patient outcomes and quality of life. The coordinator will assist patients and families through face-to-face and telephonic interactions, provide support services including care coordination and counseling, and intervene in various social issues such as child abuse, domestic violence, and substance abuse. Ensuring safe patient care while adhering to policies, procedures, and budgetary specifications is crucial. The role also includes initiating Advance Care Planning and goals of care discussions, assessing and caring for patients based on developmental stages, and involving families in the plan of care.

Requirements

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

Nice To Haves

1 to 2 years of social work experience in an acute care setting preferred
LCSW preferred

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 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.