SW-Hospital Case Manager LMSW, PRN - Pediatrics

Prisma Health•Richland, SC

1d•Onsite

About The Position

Provides screening, assessment, planning, problem resolution, resource management, counseling, and crisis management related to patients’ and families’ health care and discharge-planning needs. Manages and collaborates on discharge planning for patients with simple and complex needs and coordinates with agencies providing post-hospital care. Works as an interdisciplinary health care team member to assess patient and family needs, develop comprehensive plans of care, and coordinate resolution of identified needs. Services are provided in accordance with professional practice standards and Prisma Health policies and procedures. The role assesses psychosocial risk factors, documents screening and discharge-planning activities in the medical record, supports the Hospital Case Management team, and maintains communication with post-acute care providers. It also supports readmission assessment and risk stratification, coordinates appropriate skilled nursing facility and rehabilitation referrals, provides consultation to team members, advocates for patient and family autonomy and access to services, and addresses emotional, social, and financial effects of illness or disability. The case manager may intervene in cases involving abuse or assault, provide counseling and crisis intervention, support treatment and end-of-life decisions, contribute to Case Management policies and procedures, and assess behavioral health needs in collaboration with physicians, psychiatrists, and other mental health team members.

Requirements

Master’s degree in Social Work.
Current LMSW or LISW license issued by the South Carolina Board of Social Work Examiners.
Strong organizational, time-management, crucial-conversation, problem-solving, and critical-thinking skills.
Team members employed in this job before July 1, 2020, are grandfathered under prior education and experience requirements.
Team members must be certification eligible and obtain the required certification within one year.

Nice To Haves

One year of social work experience preferred.
One year of experience in a health care setting preferred.
ACM, CCM, C-SWCM, or ACSW certification preferred.

Responsibilities

Assess patients’ and families’ psychosocial risk factors, including prior functioning, support systems, reactions to illness, and ability to cope.
Document screening, initial discharge plans, changes in condition, and final discharge plans in accordance with hospital department policies and procedures.
Promote the Hospital Case Management team concept through discharge-planning activities as requested or assessed.
Maintain close communication with post-acute care providers.
Conduct readmission assessments, risk-stratification reviews, and action planning.
Use proactive measures to support comprehensive discharge planning.
Screen and coordinate appropriate skilled nursing facility and rehabilitation referrals.
Provide consultation to team members regarding clinical needs as appropriate.
Advocate for patient and family empowerment, autonomous health care decisions, and access to needed health care services.
Intervene with patients and families regarding emotional, social, and financial consequences of illness or disability, and mobilize family and community resources.
Provide intervention in cases involving child abuse or neglect, domestic violence, elder abuse, institutional abuse, and sexual assault.
Provide counseling and intervention related to treatment decisions and end-of-life issues.
Participate in developing and implementing Case Management program policies and procedures.
Assess patients’ behavioral health needs in collaboration with physicians, psychiatrists, and other mental health team members.
Provide counseling, crisis intervention, and psychosocial assessments to patients and families with appropriate medical staff supervision.