Social Worker Case Manager - ElderLink

Inova Health System • Fairfax, VA

3h

About The Position

Inova's ElderLink Department is looking for a dedicated Experienced Social Worker Case Manager to join the Case Management Team. We provide affordable case management to older adults in Fairfax County & the Cities of Falls Church & Fairfax. This role will be Full-Time, Monday - Friday, 8:00am - 4:30pm.Travel will be required to clients’ homes and various community sites located across Fairfax County.
Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
The ElderLink team is seeking a highly motivated Social Worker Case Manager l team member to support our various programs which provide case management, caregiver support, and educational workshops to benefit older adults, adults with disabilities, and caregivers of older adults throughout Fairfax County. The primary areas of focus for this position includes offering general case management, caregiver support, and facilitating workshops in various community settings. This position will also provide aid to clients in ElderLink’s Money Management program. Travel will be required to clients’ homes and various community sites located across Fairfax County.

Requirements

• Master's Degree in Social Work
• Requires a minimum of 1 year of experience in clinical care or clinical case management.
• Basic Life Support (BLS) for Healthcare Provider certification from the American Heart Association required upon start.

Nice To Haves

• One (1) year of previous case management experience, experience working with the older adult population and comfortability with workshop facilitation/public speaking is highly preferred.
• Due to patient visit commitment, being a current resident of the Fairfax County/Fall Church geographical area is also highly preferred.

Responsibilities

• Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.
• Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression.
• On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope.
• Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability.
• Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services.
• Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings
• Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
• Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community.

Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

What This Job Offers

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