Social Worker II - Case Management

Conifer Health Solutions • Delray Beach, FL

3d

About The Position

The Social Worker II - Case Management facilitates care across the continuum through effective resource coordination, helping patients achieve optimal health, access care, and use resources appropriately while considering their resources and right to self-determination. The role assesses patients’ transition needs, including identifying and assessing those at risk for readmission, and conducts complex psychosocial assessments and interventions to promote timely throughput, safe discharge, and prevention of avoidable readmissions.

The position integrates case management standards for transition management, care coordination, regulatory and accreditation compliance, and education for physicians, patients, families, and caregivers. It also participates in planning the social work component of selected hospital programs, provides in-service education for staff, and collaborates with community providers to develop educational resources for staff and patients or their representatives.

Requirements

• Master in Social Work (MSW).
• Currently licensed, certified, or registered to practice the profession as required by law, regulation, or policy in the state of practice; active license for the state or states 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 of acute hospital experience.

Responsibilities

• Conduct complex psychosocial transition-planning assessments and reassessments, and provide interventions.
• Assist with adoption, abuse, and neglect cases, including assessment, intervention, and referral to appropriate local, state, or federal agencies.
• Coordinate patient care.
• Implement or oversee implementation of transition plans.
• Lead or facilitate multidisciplinary patient care conferences, including Complex Case Review.
• Make appropriate referrals to other departments.
• Communicate the plan of care to patients and families.
• Collaborate with physicians, office staff, and ancillary departments.
• Ensure patient education is completed to support post-acute needs.
• Complete timely, accurate, and concise documentation in the Tenet Case Management documentation system.
• Maintain accurate patient demographic and insurance information.
• Support transition management, including appropriate length of stay, readmission prevention, and patient satisfaction.
• Promote care coordination and throughput efficiency while ensuring care is sequenced and provided at the appropriate level of care.
• Comply with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
• Provide education to physicians, patients, families, and caregivers.
• Participate in planning the social work component required in selected hospital programs.
• Provide in-service education for staff.
• Collaborate with community providers to develop educational resources for staff and patients or patient representatives.
• Perform other duties as assigned.

What This Job Offers

• Career Level: Mid Level