Social Worker MSW - Care Management

Capital Health•Hopewell, NJ

1d•Onsite

About The Position

Capital Health is seeking a Social Worker MSW for Care Management. This role involves assessing, intervening, and planning appropriate discharge based on patient's clinical, social, and functional needs. The Social Worker will integrate cultural, clinical, ethnic, and age-related factors into the plan of care for transition planning. They will act as an active member of the care management team, identifying social and financial barriers to timely discharge and referring patients/families/caregivers to appropriate resources for issues such as abuse, neglect, domestic violence, alcohol, and substance abuse.

Requirements

Master's degree in Social Work (MSW).
Requires New Jersey Social Worker license.
One year experience in hospital case management or healthcare.
Clinical training in a medical/clinical environment
Knowledge of spreadsheet and word processing software, case management and patient information systems.
Excellent communication, conflict management, organizational and planning skills.
Must be comfortable working with diverse age ranges and populations.

Nice To Haves

4 hours of Stroke related Continuing Education contact hours annually if assigned to: Critical Care, Intermediate Care Unit, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds ED, PACU, Interventional Radiology, CNI, Observation

Responsibilities

Documents in the clinical record, comprehensive assessment of patient needs including barriers to timely discharge, clinical interventions, support and appropriate community resources according to policy and utilizing recognized format, such as, assessment, intervention, and plan.
Documents clinical record appropriate interventions including assessment, plans, and referrals in the discharge planning process.
Use culturally competent skills to assess individual patient needs and refers to appropriate professional staff when necessary.
Identifies barriers and plans for intervention to overcome or lessen barriers to achieve outcome as evidenced by treatment plan.
Collaborates, educates and assists health care team to identify social and financial barriers that delay appropriate transitions through multidisciplinary rounds, length of stay meetings, and medical record documentation.
Documents in clinical record all referrals and clinical interventions related to abuse, neglect, domestic violence, alcohol and substance abuse, crisis intervention.
Performs educational sessions for health care team related to abuse/neglect issues and reporting of same.
Documents staff interventions in clinical record.
Completes mental health /psych assessments when appropriate.
Advocates for appropriate services for all patients with payor and providers of post-acute care service, community service and other services in order to optimize patient outcome.
Participates in staff development and performance improvement program activities to increase self knowledge, staff and colleague awareness of bio-psycho-social issues and functioning, improve departmental and systems design and functioning, and meet regulatory requirements.
Attends and participates in regular departmental performance programs, staff meetings, and hospital wide committees to analyze and respond to issues significant to social work services and to identify opportunities for improvement.
Ensures compliance with DNV standards, NJDOH regulations, approved CH performance improvement plan and policies and the Healthcare Quality Strategies (HQSI) activity for Capital Health.
May perform follow up service as needed to measure clinical outcomes.
Performs other duties as assigned.