Social Worker/Case Manager

McAlester Regional Health Center Authority•McAlester, OK

13h•Onsite

About The Position

The Social Worker/Case Manager is responsible for coordinating patient care and discharge planning for individuals admitted to the inpatient rehabilitation unit. This role serves as an advocate for patients and families by addressing psychosocial needs, facilitating access to community resources, and ensuring safe, effective transitions to the next level of care. The Social Worker/Case Manager collaborates closely with physicians, nurses, therapists, patients, families, and community agencies to promote optimal patient outcomes and successful rehabilitation. Working as an integral member of the interdisciplinary rehabilitation team, the Social Worker/Case Manager provides comprehensive case management services, including psychosocial assessments, treatment planning, care coordination, discharge planning, patient and family education, and resource management. The position requires adherence to professional social work standards, ethical practices, regulatory requirements, and organizational policies while contributing to quality improvement initiatives and program development.

Requirements

Bachelor's degree in social work with a minimum of two years’ clinical experience.
Valid state licensure or certification as a Social Worker where applicable.
Demonstrated experience in crisis intervention and case management.
Strong knowledge of social services systems and community resources within the United States.
Excellent communication and interpersonal skills with a commitment to ethical practice.

Nice To Haves

Master’s degree in approved CSWE program.
Licensure as a Licensed Clinical Social Worker (LCSW) or equivalent.
Experience working in healthcare settings or mental health counseling.
Training in psychotherapy techniques and trauma-informed care.
Bilingual abilities or experience working with diverse populations.

Responsibilities

Collaborate with the interdisciplinary rehabilitation team to develop, implement, and evaluate patient treatment and discharge plans.
Participate in pre-admission screening as requested.
Establishes and maintains a therapeutic relationship with patients and families.
Provide patient and family education on tasks and resources that will assist with
The social worker shall be responsible for maintaining accurate and timely documentation.
Coordinate transitions of care, including referrals to home health services, outpatient therapy, skilled nursing facilities, assisted living facilities, and community resources.
Collaborate with insurance providers and utilization review staff to support authorization requirements and discharge planning needs as requested.
Maintain knowledge of community resources, financial assistance programs, transportation services, and other support systems available to patients.
Develop and implement individualized discharge plans, coordinate post-discharge services, and connect patients with community resources to support successful transitions of care.
Ensure compliance with regulatory, accreditation, and organizational standards.
Document assessments, interventions, discharge plans, and care coordination activities in the electronic medical record accurately and timely.
Assist with advance directives, guardianship concerns, and other legal or ethical issues as appropriate.
Providing Case Coordination and a full range of social work services including social work assessment and treatment planning in an interdisciplinary environment consistent with the position’s qualifications, professional practices and ethical standards.
Demonstrate accountability for and contribution to program development, quality improvement, problem solving and productivity enhancement in a flexible interdisciplinary fashion.