Quick overview
Job description
Job Shift: Days
Job Type: Per Diem
The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and interventions to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is sequenced and provided at the appropriate level of care
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
- Education provided to physicians, patients, families and caregivers
- Participates in planning the social work component required in selected hospital programs
- Provides in-service education for staff
- Collaborate with community providers to develop educational resources appropriate for staff and patients/patient representatives
This individual’s responsibility will include the following activities:
a) complex psycho-social transition planning assessment and reassessment and intervention,
b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies,
c) care coordination,
d) implementation or oversight of implementation of the transition plan,
e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review,
f) making appropriate referrals to other departments,
g ) communicating with patients and families about the plan of care,
h) collaborating with physicians, office staff and ancillary departments,
i) assuring patient education is completed to support post-acute needs ,
j) timely, complete and concise documentation in Tenet Case Management documentation system,
k ) maintenance of accurate patient demographic and insurance information,
l) and other duties as assigned.
Required qualifications include:
- Master in Social Work (MSW).
- Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy.
- Active license for state(s) covered.
Preferred: Accredited Case Manager (ACM). Minimum of two years acute hospital experience preferred.
Required skills include:
- 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 and computer literacy.
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