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

Northeast Georgia Medical Center•Gainesville, GA

About The Position

The Case Management Social Worker provides medical social work services to patients receiving care in the hospital setting. The role assesses each referred patient’s social, psychological, cultural, environmental, and financial situation, along with disposition needs, and collaborates with RN Case Managers, patients, families, healthcare team members, and community agencies to develop, implement, and evaluate plans addressing identified needs. The Social Worker 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 neonate, infant, child, adolescent, adult, and geriatric age groups, performing clinical duties in accordance with population-specific guidelines and National Patient Safety Guidelines. It provides cross-coverage for Social Workers across the care continuum as required, including weekend rotation, remote coverage, and on-call scheduling. The position is scheduled for Friday, Saturday, and Sunday 12-hour morning-afternoon shifts. The role uses family systems theory to gather information and identify factors affecting care and discharge planning; coordinates discharge and post-acute placement; supports patients and families; connects them with community and financial resources; and completes associated documentation. Clinical duties are performed in accordance with the NASW Code of Ethics.

Requirements

Master’s degree in Social Work from an accredited School of Social Work.
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, as well as community resources.
Ability to work with diverse patient and staff populations and people of varying cultural and socioeconomic backgrounds.
Ability to work independently and amicably in group situations.
Knowledge of current professional conduct and practice.
Strong clinical assessment, intervention, and counseling skills across child, adolescent, and adult age ranges.
Knowledge of long-term care regulations, financial eligibility, and admission criteria.
Knowledge of adoption and surrogacy policies and regulations.
Ability to develop new and effective solutions to problems and opportunities.
Ability to meet the individualized needs of patients.
Work scheduled shifts, including weekend rotation, remote coverage, and on-call schedule.
Ability to lift and carry up to 50 pounds occasionally; stand and walk constantly; and perform occasional kneeling, stooping, bending, pushing, and pulling.
Reading, writing, reasoning, talking, and keyboarding skills.

Nice To Haves

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

Responsibilities

Assess patients’ social, psychological, cultural, environmental, and financial circumstances and disposition needs using a family systems theory framework.
Identify legal, financial, social, educational, and environmental factors that may affect medical care or discharge planning.
Communicate critical patient information to team members that may affect the hospital stay or discharge plan.
Assess and ensure appropriate reporting of potential or actual abuse, neglect, or domestic violence.
Assess psychiatric or substance abuse disorders upon request and initiate or assist with appropriate 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.
Coordinate timely discharge plans through networking and collaboration with the care team, patients, families, and community resources.
Advocate for patients and ensure Freedom of Choice and Medicare Important Message requirements are addressed.
Attend multidisciplinary rounds and communicate with the team about patient needs and plans.
Coordinate referrals and placement in settings such as nursing homes, skilled nursing facilities, assisted living, LTAC, and acute rehabilitation; review electronic records, discuss facility preferences, obtain signatures, complete required forms, and ensure discharge documentation accompanies the patient.
Keep the care team, patient, and family informed about post-acute plans and coordinate transportation.
Assist with applications for indigent medications and pharmacy assistance programs.
Help patients and families obtain community resources for discharge to a lower level of care, including homeless resources; identify new community resources and inform the team.
Provide therapeutic support to patients and families, help them understand the medical plan of care and discharge plan, and facilitate support groups as needed or requested.
Support case managers with difficult discharge placements and placements outside the USA for immigrants.
Respond to calls, referrals, and consults within 24 hours; provide appropriate resources or manage calls satisfactorily, seek assistance when needed, and document actions taken.
Work scheduled shifts, including weekend rotation, remote coverage, and on-call schedules.
Perform clinical duties in accordance with the NASW Code of Ethics.
Participate in community-based committees, hospital committees related to post-acute care services, and system-wide service projects, as encouraged.