Social Worker Case Manager

Sheridan Memorial Hospital•Sheridan, WY

5d•Onsite

About The Position

Under general supervision, the Social Worker Case Manager assesses patients’ and families’ psychosocial and discharge-planning needs relevant to medical treatment. The role provides crisis intervention, emotional support, resource information, discharge planning, and legal reporting; arranges case conferences; and facilitates ethical consultations. The case manager coordinates care for an identified patient caseload in collaboration with medical staff and the interdisciplinary care team, following the organization’s mission and vision and applicable practice acts. Planning addresses age-specific needs across neonates, infants, children, adolescents, and adults, including geriatric patients.

Requirements

Master’s degree in Social Work.
Licensed Clinical Social Worker credential, or willingness to obtain it.
BLS certification.
Excellent communication skills and a positive attitude.
Social Work assessment and counseling skills.
Knowledge of state and federal programs that provide medical care and financial support to individuals.
Knowledge of community resources.
Ability to work with diverse patient and staff populations.
Ability to work independently and amicably in group situations.
Basic computer skills.
Pre-employment drug and alcohol screening is required.

Nice To Haves

At least two years of hospital case management or discharge-planning experience is preferred.

Responsibilities

Assess each patient in the assigned caseload before admission or on first contact, and no later than one working day after admission, including clinical, functional, developmental, psychosocial, and financial status; identify support systems and available resources.
Develop, implement, and revise case management plans that target optimal cost and quality outcomes, involving the patient, parent, or family as appropriate.
Identify variances from case management plans and intervene promptly to correct them or prevent further complications, taking age and developmental level into account.
Collaborate with physicians and interdisciplinary care team members to evaluate progress, revise plans and goals as indicated, and consult resource personnel as appropriate.
Identify, implement, communicate, and document discharge plans upon admission; obtain support for complex discharge planning and coordinate smooth transitions between care settings.
Perform psychosocial assessments and discharge planning for high-risk patients, and participate in care planning responsive to age-specific needs.
Refer patients to appropriate community resources and provide patients and families with crisis intervention and emotional support on psychosocial issues.
Coordinate patient, family, and physician conferences.
Consult with physicians and hospital staff regarding psychosocial and bioethical issues and discharge problems.
Develop and maintain working relationships with community agencies.
Provide in-service education for staff.
Document pertinent discharge-planning contacts in Social Services notes in the patient’s medical record.
Perform routine administrative tasks, including updating community resource lists and preparing statistics, reports, and other required materials.
Make required legal reports for suspected child abuse and elder abuse, and make domestic violence referrals.
Facilitate reimbursement for services by communicating clinical information and discharge plans to staff and departments.
Communicate quality concerns to patient care services leadership and/or medical staff department chairs, identify opportunities for system performance improvement, and participate in data-driven improvement activities targeting optimal clinical outcomes for patients of all ages.