MSW - Case Manager - Every Weekend - Fri Sat Sun 12 hour shifts

Northeast Georgia Health System•Gainesville, GA

About The Position

The Case Management Social Worker provides medical social work services to patients receiving care in the hospital. The role assesses each referred patient's social, psychological, cultural, environmental, and financial circumstances, along with disposition needs. In collaboration with the RN Case Manager, patients, families, healthcare team members, and community agencies, the Social Worker develops and implements plans to address identified needs, evaluates their effectiveness, and makes changes as needed. The role uses crisis intervention, problem-solving, community organization, and advocacy skills to identify needs and resources in the hospital and community. The position serves patients across the lifespan, from neonates through geriatric patients, and requires clinical duties to follow population-specific guidelines and National Patient Safety Guidelines. It also provides cross-coverage for Social Workers across care-continuum settings as required. The schedule is every weekend, Friday through Sunday, in 12-hour morning-afternoon shifts, and includes remote coverage and an on-call schedule.

Requirements

Master's degree in Social Work from an accredited School of Social Work.
One year of experience in a hospital, agency, or institution providing related health care services is listed as preferred minimum experience.
Strong clinical assessment, intervention, and counseling skills across child, adolescent, and adult age ranges.
Excellent communication skills and a positive attitude.
Social work assessment and counseling skills.
Knowledge of state and federal programs providing medical care and financial support, and knowledge of community resources.
Ability to work with diverse patient and staff populations and individuals from varying cultural and socioeconomic backgrounds.
Ability to work independently and amicably in group situations.
Knowledge of current professional conduct and practice.
Knowledge of long-term care regulations, financial eligibility, and admission criteria.
Knowledge of adoption and surrogacy policies and regulations.
Ability to develop creative and effective solutions to problems and opportunities.
Ability to meet individualized patient care needs.
Must work scheduled shifts, including weekend rotation, remote coverage, and on-call schedule.

Nice To Haves

Social work licensure is preferred.
CCM (Case Management Certification) or ACM (American Case Management Certification) is preferred.
One year of experience in a hospital, agency, or institution providing related health care services is preferred.

Responsibilities

Assess patients' social, psychological, cultural, environmental, and financial circumstances using a family systems theory framework, including factors that may affect medical care or discharge plans.
Inform team members of critical information affecting a patient's hospital stay or discharge plan.
Assess and ensure appropriate reporting of potential or actual abuse, neglect, or domestic violence.
Assess psychiatric or substance-use disorders when requested and initiate or help arrange intervention and treatment referrals for discharge.
Use SBIRT techniques to identify risky alcohol and drug use and help prevent related health consequences, disease, accidents, and injuries.
Expedite discharge planning within the patient's expected length of stay, advocate for patients, ensure Freedom of Choice and Medicare's Important Message, and attend multidisciplinary rounds.
Coordinate appropriate post-acute placement referrals, review electronic records, discuss facility preferences with patients or families, obtain required signatures, complete DMA 6 where required, update relevant patient information, ensure discharge documentation is available, communicate post-acute plans, and coordinate transportation.
Assist patients with indigent medication applications and pharmacy assistance programs; help patients and families obtain community resources, including homeless resources, for discharge to a lower level of care.
Provide therapeutic support to patients and families, help them understand the medical and discharge plans, and facilitate support groups as needed or requested.
Support case managers with difficult discharge placements and placement outside the United States for immigrants.
Respond to calls, referrals, and consults within 24 hours; communicate respectfully, provide appropriate resources or manage calls satisfactorily, seek supervisory or other assistance when needed, and complete related documentation.
Perform clinical duties in accordance with the NASW Code of Ethics.
Work all scheduled shifts, including weekend rotation, remote coverage, and the on-call schedule.
Participate in community-based committees, hospital committees related to post-acute care services, and system-wide service projects (encouraged).