Department:Case Management, 87141
In collaboration with the RN Case Managers, provides patient/family interventions to support clinical, satisfaction, financial, and compliance related outcomes. Places cases from a psychosocial- economic perspective by assisting patients and families in adjustment to episodes of acute and chronic illness; coping with lifestyle changes precipitated by illness or disability; in participating in restorative health programs; in carrying out discharge recommendations; and in the addressing issues of terminality. Using a variety of treatment modalities, assists patients and families in the alleviation or resolution of social, financial, and emotional problems related to illness, health care, and rehabilitation.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Masters Degree in Social Work from an accredited School of Social Work
LICENSE / CERTIFICATION / REGISTRATIONS REQUIRED:
LSW preferred; Master's degree (M.A.) in Social Work, Psychology, Addiction, or equivalent:
Case Management certification preferred
CONTINUING EDUCATION & COMPETENCY REQUIREMENTS:
Adult and pediatric population specific continuing competency requirements:
Minimum of two years of post graduation practice in a health care setting; Case Management, discharge planning, and utilization review experience preferred.
KNOWLEDGE / SKILLS / ABILITIES:
Strong interpersonal, communication, and negotiation skills.
Ability to form positive, collaborative relationships with hospital staff, patients and families.
Ability to effectively negotiate with internal and external providers of patient care services.
Analytical abilities to assist in obtaining solutions to problems.
Able to work independently and prioritize work.
Able to manage multiple priorities.
Basic knowledge of computers and clinical applications.
Ability to problem solve in a proactive, creative manner using sound judgment based on factual information and clinical knowledge.
Creativity in the use of community based, insurance and financial resources to meet specific patient needs.
Communicate in a clear, concise, and logical manner in oral and written presentations.
ENVIRONMENTAL / JOB CONDITIONS:
Exposure to Hazardous Chemicals or Substances and/or Infection: Risk of exposure to infectious disease during all patient contacts
Exposure to Bloodborne Pathogens: Risk of exposure to bloodborne pathogens during all patient contacts
Personal Protective Equipment Required: Yes
ACCOUNTABILITIES AND ESSENTIAL JOB FUNCTIONS:
Completes an assessment of patients/families, then evaluates patient and family information, selects appropriate Social Work methods, develops, implements and evaluates a plan in conjunction with the RN Case Manager and the multidisciplinary team.
Serves as the lead in obtaining financial and other resources for patients/families in need.
Actively participates and provides pertinent information in length of stay meetings, discharge planning rounds, during unit daily report, clinical practice teams and department meetings.
Initiates patient/family and provider team meetings to develop and plan strategies related to psychosocial and economic issues, particularly those related to care progression and transition. May act as the liaison between patients/families and all providers of care within and external to the organization on social issues.
Supports the placement of patients into long term care facilities. Reviews financial resources for long term placement and provides education to the patient/family.
Provides support and counseling to patients/families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnoses, changes in living situations and bereavement. Establishes a plan. Documents interventions and outcomes.
Assists in resolving issues in the patient's environmental that interfere with obtaining the maximum benefits from health care.
Consults, assesses, refers, coordinates interventions in cases of suspected or actual situations of child or adult abuse and neglect or other forms of domestic violence and/or sexual abuse.
Serves as the lead in obtaining legal guardianship and competency determinations as well as adoption related situations. Completes and disseminates all necessary legal and clinical documentation as required.
Conducts support groups for targeted populations.
Demonstrates ability to engage in complex clinical decision-making.
Demonstrates a working knowledge of common diseases treated in the Emergency Department and age-specific characteristics of these diseases.
Demonstrates working knowledge of insurance reimbursement arrangements for acute and emergency services.
Demonstrates a strong commitment to interdisciplinary collaboration and communication.
Demonstrates strong skills in the preparation of clinically pertinent medical record documentation.
Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals
Demonstrates skills in verbal communication, teaching and listening
Demonstrates skills in providing excellent service to customers
Skilled in interacting with Physicians on a collegial basis
Demonstrated Window based computer skills (word processing, data entry at a minimum)
Ability to accept and transcribe Physician verbal/telephone orders
Able to participate in external case management activities
Able to function independently while achieving shared goals for patients/Harrison Medical Center/payors
Self-directed ability to prioritize and, when necessary, re-prioritize workload
Demonstrated ability to complete work within required timeframes
Demonstrated ability to maintain confidentiality
Must have regular, reliable, predictable attendance in performance of essential job functions.
During an emergency, disaster, or catastrophic event, which places life or property in jeopardy, employee may be assigned to any disaster service activity that promotes the protection of public health and safety. Assignment might require serving at a location, at times and/or under conditions that significantly differ from employee's normal work assignments. As an employee of Harrison Medical Center, employee may be directed to perform a role other than their regular job, by a superior or by law.
Performs other duties as assigned.