Social Worker, Hospital Care Management, Full Time, Days

About the position

Provides screening, assessment, planning, problem resolution, resource management, counseling and crisis management as they relate to the health care and discharge planning needs of the patient/family. Manages and collaborates in discharge planning for patients with simple and complex needs and coordinates with agencies providing post hospital care. Functions as an interdisciplinary health care team member collaborating with other health care professionals to coordinate in the assessment of patient/family needs and development of a comprehensive plan of care, and to coordinate and facilitate resolution of patient needs. Services are provided in accordance with accepted standards of professional practice and the policies and procedures of Prisma Health.

Responsibilities

• Assess patients' and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
• Ensure documentation in the medical record is legible and conforms to hospital department policies and procedures including screening, initial discharge plan, change of condition updates and final discharge plan.
• Promote the Hospital Case Management team concept with discharge planning activities as requested and/or assessed.
• Maintain close communication with post-acute care providers.
• Accountable for readmission assessments, risk stratification review and action planning.
• Use proactive measures towards comprehensive discharge planning.
• Screen and coordinate all SNF and Rehab facility referrals as deemed appropriate.
• Advocate for patient and family empowerment and independence to make autonomous health care decisions.
• Intervene with patients and families regarding emotional, social, and financial consequences of illness and/or disability.
• Provide intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
• Serve as a resource person and provide counselling and intervention related to treatment decisions and end-of-life issues.
• Participate in the development and implementation of policies and procedures for the Case Management program.
• Assess the patient's behavioral health needs in collaboration with physician, psychiatrists, and other members of the mental health team.
• Provide counseling, crisis intervention, and psychosocial assessments to patients/families with appropriate medical staff supervision.
• Perform other duties as assigned.

Requirements

• Master's degree in social work.
• One (1) year Social Work Experience preferred.
• One (1) year experience in a healthcare setting preferred.
• Currently licensed as a Licensed Master Social Worker (LMSW) or Licensed Independent Social Worker (LISW) by the South Carolina Board of Social Work Examiners.

Nice-to-haves

• ACM, CCM, C-SWCM or ACSW certification preferred.