Case Manager
Location: Bethlehem Pennsylvania
Description: St. Luke's Hospital & Health Network is presently looking of Case Manager right now, this job will be placed in Pennsylvania. For detail informations about this job opportunity please give attention to these descriptions. The Social Worker is responsible for coordinating the complex discharge planning needs of patients and families, as well as to provide supportive counseling, psychosocial assessment! and interventions for patients with complex psychiatric, social, medical, and financial needs. The Social Worker also assists the interdisciplinary team in order to help the patient and families cope with hospitalization, illness, diagnoses, treatment, and other issues as they prevent a barrier to efficient patient throughput and quality outcomes. The Social Worker will intervene with patients based on referral from the RN Care Coordinator and established high risk criteria.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. Age Specific Populations: All
WORK PERFORMED
JOB DUTIES AND RESPONSIBILITIES:
ESSENTIAL FUNCTIONS:
1. Discharge Planning and Placement
Responds to requests for discharge planning on a timely basis.
Cond! ucts a discharge planning needs assessment and develops a disc! harge plan in conjunction with the care coordinator and the interdisciplinary team to meet desired goals for the next step in the continuum.
Communicates to patient/family, care coordinator and interdisciplinary team members the discharge options and plans for complex patients. Communicates to patients their choices regarding discharge plans, and respects these choices as defined by federal, state and regulatory requirements.
Keeps the care coordinator and team updated as to the status of the discharge plans. Re-evaluates and revises the discharge plan as additional information is acquired and keeps patient/family and team informed to changes in the plan.
Works with care coordinator to obtain insurance approval for post acute services. Maintains current knowledge and awareness of payer/reimbursement practices.
Coordinates the actual discharge plan, including transportation.
Coordinates utilization of patient and community resourc! es to facilitate achievement of safe and effective discharge plan and accomplishment of goals.
Finalizes all discharge planning arrangements within 24hours of discharge.
Ensures that any information that would be helpful, as appropriate, to facilitate continuity of care post-discharge, are communicated to post acute provider via discharge paperwork or via phone as per departmental documentation guidelines.
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Develop reference materials for nursing staff to ensure safe discharge placement during off hours.
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Follows up on discharge planning issues identified by nursing staff during off hours.
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Develop strong relationships with community health resources to ensure appropriate patient access after discharge. Completes timely referrals to post discharge providers, ensuring efficient patient flow and adherence to federal and regulatory requirements.
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Works with senior leaders to remov! e barriers to safe discharge of unfunded patients.Develops, maintains a! nd provides community resource information to patients.
Documents according to policy
2. Crisis Intervention and short term psychosocial counseling
Screens patients, upon referral or according to high risk criteria for psychosocial needs. Conducts psychosocial assessment when indicated to identify emotional, social and environmental issues impacting quality outcomes and efficient patient throughput.
Provides crisis intervention, supportive counseling and advocacy to assist patients and/or family with adjustment associated with illness, hospitalization and/or alternative care placement. Facilitates the decision making process in complex cases.
Seeks appropriate consultation and referral services for psychosocial intervention (both during hospitalization and as follow-up).
Communicates findings to care coordinator and other members of the interdisciplinary team and intervenes as appropriate in order to ensure a proactive a! pproach to crisis intervention and efficient patient throughput.
Documents according to policy.
3. Patient Advocacy
Helps patient/family understand, accept and follow medical recommendations within the context of self-determination.
Helps patients understand their rights in regards to patient choice, medical treatment, advanced directives and other related issues.
Initiates appropriate referrals to the Ethics Committee, Physician Advisor, Risk Management or Legal Services, as appropriate.
Facilitates resolution of issues surrounding patient care in a compassionate manner, functioning as a patient advocate.
Coordinates and ensures reporting of mandated child and elder abuse/neglect as required by law.
Ensures advance directives are in place and honored according to patient wishes.
Facilitates resource acquisition for the unfunded patient, as available.
4. Patient Education
Prov! ides education to patient and families around issues related to adaptat! ion to the patient’s diagnosis, illness, treatment, discharge plan and/or life situation.
Participates in multi-disciplinary team meetings and provides leadership in representing the social work perspective.
Serves as a resource to members of the interdisciplinary team and patient/family regarding coverage issues, discharge options and community resources
Documents according to policy.
5. Interpersonal Relationships and Job Performance
Employs a high degree of skill in all oral and written communications and personal interactions and demonstrates collaborative working relationships.
Uses appropriate resources and methods to resolve conflict with others.
Meets assigned deadlines and quality standards without reminder from supervisor or others.
Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis.
Maintains absolute adherenc! e to hospital and departmental policies and practices regarding confidentiality and patient's rights.
Demonstrates knowledge and support of the hospital's mission and values.
Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities.
Comply with all applicable state and federal regulations as well as The Joint Commission requirements regarding the SW process.
Acts as resource to staff for issues related to Social Work processes
Act as resource to the staff for regulatory issues regarding the discharge-planning and psychosocial processes.
6.
Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information. 7.
Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements. 8.
Demonstr! ates/models the Network’s Service Excellence Standards of Performance! in interactions with all customers (internal and external). 9.
Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety. 10.
Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices. 11.
Complies with Network and departmental policies regarding attendance and dress code. 12.
Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated.
OTHER FUNCTIONS:
1.
Other related duties as assigned.
Job Qualifications:
EDUCATION: MSW from an accredited school of social work. TRAINING AND EXPERIENCE: Preference is for MSW with experience working in an acute care setting.Strong critical th! inking skills.Ability to maintain collaborative and effective working relationships. Able to assert needs to patients, families, physicians, and other members of the interdisciplinary team while maintaining established rapport and relationships.
Ability to communicate both verbally and in written forms.
PHYSICIAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, walk on all surfaces for up to five hours a day, and climb stairs. Must be capable of driving a car and have the ability to finger and handle objects frequently. Occasionally firmly grasp, twist, and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 75 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Staff must have the ability to hear as it relates to normal conversations and high and low frequencies and to touch as related to telephone and computer keyboard.
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If y! ou were eligible to this job, please email us your resume, with salary ! requirements and a resume to St. Luke's Hospital & Health Network.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Tue, 20 Aug 2013 01:13:38 GMT
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