SERVICE COORDINATOR BSW

TOTALLY KIDS REHABILITATION HOSPITAL•Loma Linda, CA

2d•$27 - $30•Onsite

About The Position

The Service Coordinator, also described as a Social Worker Assistant/Service Coordinator, works under the direction of the Case Manager Supervisor and/or Licensed Clinical Social Worker (LCSW). The role assesses, provides, coordinates, and monitors healthcare services for assigned patients, ensuring that medical-necessity criteria for acute and subacute levels of care are met and documented from admission through discharge, including readmissions. The coordinator supports discharge teaching and acts as a liaison among patients, families, the interdisciplinary team, community organizations, hospital staff, insurers, physicians, and other providers. The position also helps obtain authorizations for admissions and services, supports marketing activities, and ensures patients’ medically related emotional and social needs are addressed. The Service Coordinator evaluates and screens potential admissions; coordinates admissions, individualized care plans, care conferences, discharge plans, follow-up services, and patient and caregiver training; and documents social-service activities and interventions. The role coordinates with community and state agencies, schedules appointments and transportation, arranges psychological-service appointments, and assists the LCSW with psychosocial assessments, suicide-screening assessments, family support and education, and interventions during inpatient stays. The employee is expected to maintain patient confidentiality, follow applicable regulatory and organizational requirements, contribute to quality-improvement and patient-safety efforts, and demonstrate professional, collaborative, and accountable conduct. This is a full-time, day-shift position at a hospital in Loma Linda, California. The listed schedule is 8 hours per workday, and travel is up to 25%. The posting describes a child-focused rehabilitation hospital providing medical, developmental, habilitation, and rehabilitation services.

Requirements

Bachelor of Science degree in social work (BSW).
Current Basic Cardiac Life Support (BCLS) certification.
At least two years of acute or subacute social worker assistant experience.
Knowledge of current psychosocial issues in the community and healthcare environment.
Knowledge of CMS conditions of participation, California Department of Public Health regulations, CCS, and Joint Commission accreditation requirements applicable to the job.
Working knowledge of computers and software applications applicable to the job.
Strong communication, interpersonal, and collaboration skills.
Ability to work responsibly both in a team environment and independently.
Ability to manage confidential information appropriately.
Good work ethic and professional image.
Ability to be flexible, organized, and function under stressful situations.

Nice To Haves

Social-work experience with medically complex patients and/or in pediatric care.

Responsibilities

Assess, provide, coordinate, and monitor healthcare services for assigned patients.
Ensure medical-necessity criteria for acute and subacute levels of care are met and documented from admission through discharge, including readmissions.
Coordinate and participate in patient discharge teaching as appropriate.
Liaise among patients, families, interdisciplinary teams, community organizations, hospital staff, insurance companies, other payors, physicians, and other providers.
Participate in obtaining authorization for admissions, services provided, and outpatient services in coordination with the billing department.
Coordinate with Marketing on vendor marketing activities representing the hospital.
Evaluate and screen potential admissions and coordinate the admission process with the interdisciplinary team.
Collaborate with clinical leadership and the Director of Staff Education on educational needs of patients and families before admission as needed.
Initiate and coordinate individualized interdisciplinary care plans and comprehensive discharge plans, including follow-up services such as durable medical equipment, home health, or placement.
Reevaluate care plans to ensure they remain appropriate as patients’ needs and conditions change.
Direct and coordinate patient care conferences involving patients or families, nursing, and other interdisciplinary team members as required.
Facilitate effective and efficient patient care during the hospital stay.
Assess discharge needs, considering patient needs, functional capacity, follow-up services, resources, and support systems.
Document patient problems, goals, plans, social-service interventions, discharge planning, community referrals, and coordination of services in a timely manner.
Maintain knowledge of community resources and resource materials for patients.
Coordinate and provide facility tours for potential admissions and community agencies.
Coordinate with local or state agencies and programs serving children, including Regional Center, Child/Adult Protective Services, and California Children’s Services.
Coordinate patient and caregiver training with case management.
Schedule patient appointments and arrange transportation with case management; schedule on-site psychological-service appointments as needed.
Participate in developing and implementing Rights and Responsibilities policies, guidelines, and forms.
Assist the LCSW in planning, developing, organizing, implementing, evaluating, and directing the hospital’s social-service programs.
Complete psychosocial assessments for each patient and identify social, emotional, and psychological needs.
Assist with suicide-screening assessments according to hospital policy.
Provide support and education to patients and families regarding short- or long-term placement and refer them to appropriate social-service agencies.
Provide interventions addressing events that occur during inpatient hospital admissions.
Support the organization’s patient-safety and quality-assurance performance-improvement activities.
Maintain patient confidentiality and comply with applicable regulatory standards, organizational policies, professional standards, and code-of-conduct requirements.
Complete annual organizational education and employee-health requirements, maintain applicable certification, and accurately record time.
Demonstrate effective communication, collaboration, conflict resolution, flexibility, organization, and professional conduct.