SOCIAL WORKER MSW PER DIEM

US:NV:Carson City Case Management

Per Diem Day Shift

Summary

• This individual is responsible to facilitate care through the continuum utilizing effective resource coordination to promote optimal access to care balancing the patients' resources and right to self-determination

• The overall responsibility to assess the patient for transition of care needs and risk for readmission

• This individual will be able to conduct complex psycho-social assessments and provide interventions to assist with throughput, safe discharges and avoid readmissions

• Has focus on complex social and post-acute care services

Qualifications

Required:

• Master in Social Work from accredited school of Social Work
• Excellent interpersonal, written and verbal communication skills
• Demonstrated organizational skills, critical thinking and problem solving skills and computer literacy
• Unrestricted licensure in the State of Nevada in one of the following:
• Licensed Social Worker (LSW)
• Licensed Masters Social Worker (LMSW)
• Licensed Clinical Social Worker (LCSW)

Preferred:

• Two (2) years of acute care coordination experience

• Ability to obtain Accredited Case Manager (ACM) certification

Essential Functions

• Transition Management

• Completes initial /comprehensive assessment within 24 hours of admission, including anticipated transition (discharge) plan

• Provides psycho-social assessment and intervention for patients identified with behavioral health issues, lack of social support systems, financial barriers, end of life and plan of care adherence

• Ensures plan of care and interventions are implemented and communicated to health care team, patient/family and post-acute care providers

• Complete timely, accurate and concise documentation in the Electronic Medical Record

• Care Coordination

• Screens high risk and referred patients for psycho-social issues/barriers, that may impact the transition plan and intervenes as appropriate

• Assists with adoption/abuse/neglect cases and reports to appropriate external agencies as required

• Collaborates with patient/family/health care team to ensure patient preferences and choices are taken into consideration within the limitations of available resources

• Education

• Ensure patient/ family receive education appropriate to their specific discharge plan

• Provides education to medical and nursing staff regarding relevant issues related to transition plan

• Precepts new staff members and acts as resource to all staff

• Compliance

• Ensures compliance with local, state and federal regulations and accreditation requirements

• Operates within social work scope of practice as defined by the state licensing board

• Participates in department Quality improvement initiatives

• Complex Case Management

• Completes clear, concise and accurate initial/discharge planning/complex psycho-social assessments and reassessments per departmental guidelines (assessments within 24 hours of admission, reassessments every 3 days or as needed for change)

• Escalates barriers to transition planning per departmental escalation plan

• Completes post-acute referrals within 3 days of admission

• Schedules and facilitates complex case patient/family conferences as needed (at a minimum of weekly)

• Performs other related duties as assigned.