Case Management Social Worker - York Case Management - Day

Essential Functions:

• Assesses patients/families in need of psycho-social support throughout the patient's hospitalization and assists patients who require care coordination or community resources referrals. Advocates for patient self-determination and appropriate level of care.
• Identifies discharge plan by making arrangements for psycho-social, psychological and practical assistance across the continuum of care. Actively engages the patient and family in the assessment, problem solving and referral process including transfer and discharge plans.
• Notifies patient/clinical team of potential referrals, documents on the medical record in a timely fashion: psycho-social assessments, identified plan, barriers, changes and progress toward plan completion. Notifies final outcome and patient satisfaction.
• Interacts with the interdisciplinary team in the development of the treatment/discharge plan addressing the patient's/family's psycho-social support.
• Coordinates family meetings. Assists patients and families in navigating the healthcare system.
• Performs a variety of functions to address patient's psycho-social needs with referrals for counseling, community services, protective services, and financial assistance referrals (MA application).

Common Expectations:

• Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).
• Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Prepares and presents utilization data analysis as required.
• Develops and initiates educational programs regarding utilization management principles.
• Attends meetings as required, and participates on committees as requested.