Social Worker II - Case Management

Conifer Health Solutions•Delray Beach, FL

2d•Onsite

About The Position

The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and interventions to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction Care Coordination by demonstrating throughput efficiency while assuring care is sequenced and provided at the appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided to physicians, patients, families and caregivers Participates in planning the social work component required in selected hospital programs Provides in-service education for staff Collaborate with community providers to develop educational resources appropriate for staff and patients/patient representatives

Requirements

Master in Social Work (MSW)
Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy
Active license for state(s) covered
Demonstrated organizational skills
Excellent verbal and written communication skills
Ability to lead and coordinate activities of a diverse group of people in a fast paced environment
Critical thinking and problem solving skills
Computer literacy

Nice To Haves

Accredited Case Manager (ACM)
Minimum of two years acute hospital experience preferred

Responsibilities

Complex psycho-social transition planning assessment and reassessment and intervention
Assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies
Care coordination
Implementation or oversight of implementation of the transition plan
Leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review
Making appropriate referrals to other departments
Communicating with patients and families about the plan of care
Collaborating with physicians, office staff and ancillary departments
Assuring patient education is completed to support post-acute needs
Timely, complete and concise documentation in Tenet Case Management documentation system
Maintenance of accurate patient demographic and insurance information
Other duties as assigned