Social Worker - Care Management (Full-Time, Day Shift)

Adventist Health•Selma, CA
•$39 - $54

About The Position

Provides services to patients and their families to address needs incidental to hospitalization. Offers counseling, support, and assistance with transition planning, and provides direction for routine non-medical problems affecting patients and their families. Assists with patient planning and post-discharge coordination with outside agencies, nursing staff, and relatives. The role collaborates on discharge plans for patients needing post-hospice or post-inpatient care; helps patients, families, and caregivers determine an appropriate level of hospice care; and refers patients to outpatient resources as appropriate. It initiates and reassesses plans of care and patient teaching based on patients’ physical and emotional needs. Plans of care are based on patient assessments, including psychosocial factors that may impede care, relevant human-development theories, the impact of terminal illness, mental status, and family dynamics. Other job-related duties may be assigned.

Requirements

  • Master’s degree in social work is required in California and Hawaii.
  • All associates must receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

  • One year of experience in an acute or long-term medical setting is preferred.
  • Two years of experience in an acute or long-term medical setting is preferred.

Responsibilities

  • Collaborate on and facilitate discharge plans for patients requiring post-hospice or post-inpatient care.
  • Assist patients, families, and caregivers in determining the appropriate level of hospice care.
  • Refer patients to outpatient resources as appropriate.
  • Initiate a plan of care and appropriate patient teaching, and reassess the plan according to the patient’s physical and emotional needs.
  • Develop plans of care based on patient assessments, considering psychosocial factors, human development, terminal illness, mental status, and family dynamics.
  • Coordinate patient planning and post-discharge arrangements with outside agencies, nursing staff, and relatives.
  • Perform other job-related duties as assigned.
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