Care Management/Medical Social Work - Quality & Coordination

PeaceHealth • Longview, WA

438d • $76,024 - $114,046

About The Position

PeaceHealth is seeking a part-time Care Management/Medical Social Work professional to engage with medically and psychosocially complex patients and families. This role focuses on care management for high-risk patients, coordinating discharge planning services in collaboration with the RN Care Management team and other healthcare professionals. The position requires a comprehensive approach to patient care, ensuring effective resource utilization and support for patients' healthcare needs during and after their hospital stay.

Requirements

• Bachelor's Degree in Social Work or related field with a minimum of four years' work experience in a medical or healthcare setting, social service agency, or community organization focusing on health and/or welfare issues.
• Master's Degree in Social Work or related field or Master's Degree in Counseling or related field is required for Critical Access Hospital ONLY.
• Required within 90 Days: Counselor Agency Affiliate (Washington Requirement: Applied for or received) or Required Upon Hire: Washington State Social/Counseling Work Credential (Washington Requirement: Other applicable Social Work, Therapist or Counselor licenses).

Responsibilities

• Screen and identify patients who need care management per high-risk criteria.
• Assess, develop, implement and monitor a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family.
• Collaborate with the multi-disciplinary team to identify problems or needs that require special planning, intervention, teaching or follow-up.
• Identify key problems, strengths and resources to be addressed in the discharge plan of care.
• Coordinate and facilitate improved ability to comply with plan of treatment; counseling or support needed to cope with situation; improved ability to access appropriate level of care due to lack of financial resources or lack of available service.
• Actively support measures that promote effective use of resources.
• Identify, plan and arrange for appropriate services applying a knowledge of services available in the community, state, and federal health regulations and admission, discharge and appropriate level of care.
• Coordinate effective planning and arranging for needed services upon discharge.
• Intervene by arranging services, education and providing psychosocial support to prepare the patient and their family to manage their healthcare needs within the acute care setting and post discharge.
• Coordinate with the interdisciplinary team and community resources when appropriate, regarding the multiple details of transitional care management plan.
• Consult with physician as indicated.
• Conduct evaluation to include appropriate documentation and the effectiveness of the Care Management services.
• Collaborate with team members to identify cause and adjust plan if patient's health status is not improving.
• May counsel patients and/or families to facilitate and/or participate in community care services, in coordination with the physician and treatment team.
• Works as an integral member of the treatment team in the coordination of treatment and transition of care planning.
• Assesses and addresses both mental health and chemical dependency conditions.
• May perform risk assessments for suicidality and homicidality.

Benefits

• 403(b) retirement plan
• 403(b) matching contributions
• Continuing education credits
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Bachelor's degree