About The Position

Inova Children’s Cardiology–Willow Oaks is seeking a dedicated, compassionate Social Worker Case Manager to join its growing outpatient pediatric cardiology team. This is a full-time, Monday–Friday position. The Social Worker Case Manager 1 evaluates patients’ ability to progress through the continuum of care and collaborates with physicians, nursing staff, and other multidisciplinary team members to support timely and appropriate patient management. The role requires working knowledge of utilization management, managed care, and payer issues, and provides discharge planning and continuity of care for assigned patients in acute and post-acute settings. The position coordinates services and serves as a key liaison among patients, families, and interdisciplinary healthcare team members. Inova highlights medical, dental, and vision coverage; a team member wellness program; retirement matching; tuition and student loan assistance; mental health coaching or therapy sessions; paid time off; and paid parental leave.

Requirements

  • Master’s degree in Social Work (MSW).
  • At least 1 year of experience in clinical care or clinical case management.
  • Basic Life Support certification required upon start.

Responsibilities

  • Participate in assessing patients’ biopsychosocial needs by reviewing patient information and communicating with patients, families, and interdisciplinary care team members.
  • Communicate routinely about patients’ care-plan status, progress toward treatment goals, concerns or problems, problem solving, and conflict resolution.
  • Ensure available transition-support options and critical care-plan elements are communicated to patients, families, and healthcare team members, and documented as needed for continuity of care.
  • Refer cases and issues appropriately to resolve barriers to care progression and advocate for patients facing those barriers.
  • Assess psychosocial risk factors based on preliminary risk screenings, including prior functional levels, support systems, reactions to illness, and ability to cope.
  • Intervene with patients and families regarding the emotional, social, and financial consequences of illness or disability.
  • Provide counseling and interventions related to treatment and end-of-life decisions.
  • Support patient and family empowerment and independence in making autonomous healthcare decisions and accessing needed services.
  • Provide discharge planning and continuity of care for assigned patients in acute and post-acute settings.
  • Initiate and facilitate referrals to clinics, home healthcare, hospice, skilled nursing facilities, acute rehabilitation, long-term acute care, transitional care management, and medical equipment and supplies as indicated.
  • Collaborate with the interdisciplinary care team, patients, and families to assess and coordinate discharge needs, post-discharge services, transitions to discharge settings, and ongoing community care.
  • Document relevant discharge-planning information in the medical record according to department standards and care-management plans.
  • Collaborate and communicate with internal and external case managers.
  • Coordinate services and act as a key liaison among patients, families, and interdisciplinary healthcare team members.
  • Perform other duties as assigned.

Benefits

  • Medical, dental, and vision coverage
  • Team member wellness program
  • Retirement matching of the first 5% of eligible contributions, starting on the first day
  • Education assistance of up to $5,250 per year
  • Student loan assistance of up to $10,000
  • Up to 25 mental health coaching or therapy sessions per person per year at no cost for team members, spouses or partners, and children
  • Paid time off
  • Paid parental leave
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