RN Care Manager or Social Worker

Integration enhances patient flow and interdisciplinary communication promotes early intervention. Seeks to evaluate outcomes based on an integration among established clinical, financial and utilization data. Feels comfortable functioning in structured and unstructured health care settings described as a geographic and/or situational environment that may not have established policies and procedures.

Able to work with growth and development needs of all client populations in a clinical area. Assumes the client advocacy role to identify and resolve issues within the health care delivery system. Facilitates communication links among the various disciplines and agencies/stakeholders, including managed care organization case managers involved in the treatment plan.

Social Worker

Provides crisis intervention and assists families in understanding the implications and complexities of medical situations. Coordinates healthcare programs among patients/clients/residents, families/caregivers and psychosocial and healthcare teams/communities. Demonstrates knowledge of human behavior and developmental stages.

Responds to suspected abuse, neglect or violence in accordance with the National Association of Social Work Code of Ethics policies and procedures alongside the appropriate state laws. Develops appropriate plan of care for patients/clients/residents and families/caregivers by obtaining resources from the social, health and human services agencies. Provides referrals, current information and/or education regarding programs and services available. Demonstrates commitment to the organization by utilizing time effectively, participating in special projects/assignments and exhibiting flexibility when necessary. Demonstrates professionalism by participating in care conferences and transitional rounding, serving as an advocate. Demonstrates efficacy in critical thinking, problem solving and decision-making. Possesses written and verbal communication skills while establishing a rapport with patients/clients/residents, families/caregivers and communities and healthcare teams/communities. Displays independent judgement. Actively participates with the healthcare teams.

Depending on department may be providing social services for donors and transplant recipients.