Social Work Coordinator (Full Time, Day)

Rochester Regional Health • Rochester, NY

11d • $28 - $37 • Onsite

About The Position

Under the direction of the Director/Manager, oversees daily department operations, including staff supervision. Is a member of the interdisciplinary team who utilizes social work skills with residents and their families to facilitate the psychosocial functioning and well being of residents/patients and their families. Makes recommendations to and assists Sr. Director in policy/procedure development and staffing requirements for the provision of Social Work Services. Provide superior customer service by modeling the Brand Promise and Core Values.

Requirements

• LTC Only: Bachelors Degree in Social Work, Masters preferred
• LTC Only: 3 years experience in a health care setting, working directly with elderly individuals preferred.
• Care Management and Acute Inpatient High Risk SW Only: Bachelors Degree in Social Work or equivalent; Masters Degree preferred.
• Care Management and Acute Inpatient High Risk SW Only: Five years of experience in a Social Work setting. Evidence of clinical knowledge and familiarity with community resources.
• Rochester Regional Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran.
• LICENSES / CERTIFICATIONS:
• For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
• Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Nice To Haves

• LTC Only: Masters preferred
• LTC Only: working directly with elderly individuals preferred.
• Care Management and Acute Inpatient High Risk SW Only: Masters Degree preferred.

Responsibilities

• Oversees daily department operations, providing leadership, coaching and support to staff with problem solving and in addressing customer issues/concerns.
• Assists in the interviewing, hiring and orientation of staff
• Assures staff competency in the delivery of Social Work Services, monitoring performance and participating in the performance management process.
• Represents Social Work Service at Facility, Department and Health System Meetings.
• Assists with budget preparation and managing expenses and FTEs within budgeted parameters.
• Participates in the orientation/inservice education of new employees and interdisciplinary team members. (topics include psychosocial needs, resident’s rights, advanced care planning, behavioral interventions, abuse & neglect, self determination).
• Provides preadmission & admission interventions that include education, marketing, assistance to residents and families with the immediate needs encountered with movement into the facility, orientation to facility and initial assessment of learning and communication barriers.
• Completes comprehensive psychosocial history and assessment used to identify psychosocial needs and to develop interventions and services to assure these needs are met.
• Provides interventions that facilitate the psychosocial functioning and well being of residents and their families such as advocacy, education, referral, crisis intervention, mediation, group, individual and family counseling.
• Collaborates and works in partnership with the interdisciplinary team in developing care plans and delivering service to meet the psychosocial needs of the resident and their families facilitating and fostering self determination and individual decision making.
• Involves the entire team in meeting the psychosocial needs of the resident and their family, interpreting the psychosocial needs of residents for inclusion in the care plan, facilitating resident choice and preference.
• Assist with long term care transitions and discharge planning, addressing financial, legal, housing, medical and social needs using case management strategies such as brokering, advocacy, and discharge planning.
• Completes all required clinical and non-clinical documentation in accordance with professional, regulatory and facility standards.
• Participates in department and facility planning and policy development. Collaborates with other team members in identifying the psychosocial, cultural and environmental factors essential to the delivery of quality care to residents and families and in recommending interventions/policies/processes to address.
• Maintains current knowledge base related to field of study by attending in-services, lectures, seminars, meetings, and reading current literature.
• Participates in department and facility quality/performance improvement initiatives, recommending audits, monitors and process/policy changes as a result of these initiatives.
• Works with Care Management Leadership to identify problems, recommend solutions and work toward resolution. Participates in Performance Improvement activities in the Department/Hospital/Community to affect optimal outcomes for the patient/family/hospital. Utilizes data, trends and reports to proactively identify opportunities to improve processes and
• Serves as a consultant to department and hospital clinical staff on issues such as guardianship, abuse/neglect, advance directives.
• Promotes a customer service orientation in the performance of position duties/ responsibilities and in interactions with all customers-patients, families, Physicians, and agency personnel.
• Liaison between on-site community agency personnel and Unity Hospital Care Management Department. Responsible for assuring on-site permanent agency personnel (CHHA Coordinators) meet all JC, Hospital, and LTC Regulatory requirements.
• Works in partnership with Physician Advisors to champion efficient care of the patient by interacting with the interdisciplinary team to achieve optimal outcomes on case specific issues. Collaborates effectively with clinical care services, support services and the medical staff to achieve high quality, cost effective care delivered within an appropriate length of hospital stay.
• Provides leadership and responsibility for the day-to-day functioning of the High-Risk Care Management program. Ensures that functional, efficient processes occur at the team level relative to high-risk patient referrals, admissions, treatment and discharges.
• Identifies clinical, psychosocial and financial barriers to a smooth and timely transition across the health care continuum and assists in implementing solutions to barriers as well as facilitating system improvements.
• Through the high risk screening and referral process, completes, consults and/or collaborates with staff a comprehensive psycho-social assessment identifying patient and family psycho-social and discharge needs.
• Provides direct patient and family interventions, including counseling, crisis intervention, education and referral to impact problems related to medical and physical health needs, environmental needs, family and interpersonal conflict, or substance abuse and mental health issues.
• Completes all required documentation in a timely and comprehensive manner, serving as role model for team members.
• Assists in the implementation and monitoring of program goals and objectives as well as high risk / length of stay patient care initiatives.
• Participates in care team rounds, Care Team Rounds Adopters Debriefing on a daily basis, the High-risk Extended-stay Action Response Team (H.E.A.R.T.), the Complex Care Management Team, Capacity Management Meetings, as well as the Administrative Discharge Team to facilitate and guide efficient patient transitioning through the care continuum.
• Understands placement intricacies and can interpret requirements from federal, state and local agencies to optimize the placement of patients in the most appropriate setting.
• Upholds the organization’s values of team work, interacting with others with dignity and respect. Facilitates internal and external relationships with physicians, clinical care services, constituents of care management, family members and healthcare agents, as well as with all types of agencies and resources within the community (including but not limited to CHHA’s, ALF’s, SNF’s, Comfort Care Homes and Hospice providers).

Benefits

• Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level