Social Worker II

Conifer Health Solutions•Memphis, TN

About The Position

The Social Worker facilitates care across the continuum through effective resource coordination, helping patients achieve optimal health, access care, and use resources appropriately while respecting their resources and right to self-determination. The role assesses transition needs, including identifying patients at risk for readmission, and conducts complex psychosocial assessments and interventions to promote timely throughput, safe discharge, and prevention of avoidable readmissions. The position applies national case management standards, including transition management to support appropriate length of stay, readmission prevention, and patient satisfaction; care coordination to promote efficient throughput and appropriate sequencing and levels of care; compliance with state and federal regulations, TJC accreditation standards, and Tenet policy; education for physicians, patients, families, and caregivers; and leadership for a patient population by service line and/or as a resource for Tenet performance standards.

Requirements

  • Master of Social Work degree.
  • Currently licensed, certified, or registered to practice the profession as required by law or regulation in the state of practice or by policy.
  • Active license for the state(s) covered.

Nice To Haves

  • Two years of acute hospital experience.
  • Accredited Case Manager (ACM) certification.

Responsibilities

  • Conduct complex psychosocial assessments, reassessments, and interventions to support patient transitions and discharge planning.
  • Lead care coordination efforts, develop transition plans, and oversee their implementation to ensure safe and effective post-acute care.
  • Lead and facilitate patient care conferences; collaborate with physicians and ancillary departments; and make appropriate referrals to support patient outcomes.
  • Communicate care plans to patients and families, ensure patient education is completed, and connect patients with appropriate community resources and services.
  • Complete timely and concise case management documentation and maintain accurate patient information.
  • Participate in quality improvement initiatives.
  • Support staff development through precepting and mentoring.
  • Perform other duties as assigned or required.
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