Social Worker - Care Management

Boston Medical Center•Brighton, MA

11h

About The Position

The Care Management Social Worker in the Care Management Department works effectively to coordinate discharge planning activities in cases requiring short- and long-term placement. This role assists patients and their families in coping with illness and resolving complex predisposed or incurred, emotional, financial, and environmental difficulties which interfere with obtaining maximum benefits from medical care. The Social Worker also provides consultation to medical and paramedical personnel regarding the impact of psychosocial factors on patient illness. This is a full-time position within the Care Management Department.

Requirements

Master Degree of Social Work, Psychology, or Counseling; or equivalent combination of education and experience.
0-2 years of overall experience working with patients and families.
Current licensed Clinical Social Worker in Massachusetts

Nice To Haves

1-2 years of experience of Discharge Planning Experience
LICSW Preferred
Knowledge of area community resources preferred.

Responsibilities

Effectively coordinates discharge planning activity in cases requiring social work/Care Management team intervention.
Acts as case manager, mobilizing and monitoring all adjunct activities necessary to effect appropriate discharge plans, including securing appropriate financial resources, and supporting patients and families through clarification and communication of the discharge planning process.
Develops discharge plans based upon functional assessment in collaboration with patient, family, physician and health care team.
Implements discharge plans and arranges for appropriate post-hospital care by referring patients to appropriate transfer facilities or home health/home care agencies.
Provides consultation to physicians, health care team, and other professionals by providing essential psychosocial information diagnostic formulations, plans and treatment recommendations.
Participates in team meetings and coordinates patient care meetings with in-house and outside agencies.
Supports department policies, procedures and practices for documentation and providing high quality care, to ensure compliance with the guidelines of the J.C.A.H.O, the Department of Public Health, and other regulatory agencies as required.
Thoroughly reviews patient charts (as applicable) and always documents services
Evaluates community resources for quality and appropriateness and develops and maintains referral and transfer relationships.
Completes department statistical reports, agency specific referral forms, and other required documents from regulatory programs.
Completes Medicare and other application forms as is appropriate.
Provides information/referral services.
Provides consultation to Interdisciplinary Team.
Participates on committees as assigned regarding patient care issues/service enhancement.