Medical Social Worker Jobs

Department: 16000860 System CM Hospital Care Management
Shift: Day (United States of America)
Hours: 32
Contract: Non-Union
Weekend Rotation: Every 5th
Job Profile Summary: Provides patients and families with the psychosocial support needed to cope with chronic, acute, or terminal illnesses. Services include advising family care givers, providing patient education and counseling, and making referrals for other services. May also provide care and case management or interventions designed to promote health, prevent disease, and address barriers to access to healthcare.
:

Principle Responsibilities

• Facilitates timely referrals and transfers of information.
• Collaborates and communicates with interdisciplinary team anticipating needs to move the plan of care forward.
• Maintains knowledge of government and private payer networks and services to assure appropriate transitions.
• May participate in care system process that prevent readmissions.
  • Plans and participates in transition conferences with patients and families.
  • Utilizes tools and technology to identify and intervene with patients who are at risk for readmission.
  • Ensures that a complete clinical handoff occurs for at risk patient, which may include referrals.
• Assures appropriate reporting of vulnerability or suspected abuse as mandated by law.
• Identifies patients who require social work assessment and intervention through high risk screening, interdisciplinary team meetings and individual referrals.
• Conducts assessments that address bio-psycho-social issues for age, population and health specific needs which results in individualized plans of care.
• Other duties as assigned.
• Provides support and counseling to patients and families.
• May collaborate with the health care team to promote appropriate length of stay.
  • Utilizes tools and technology to support appropriate length of stay management.
  • Facilitates timely referrals and transfers of information.
• Utilizes tools and technology to identify and intervene with patients who are at risk for readmission.
• Utilizes tools and technology to support appropriate length of stay management.
• Plans and participates in transition conferences with patients and families.
• Provides information and assistance for identified financial or social needs.
• Provides support and information to patient and families regarding transition plan.
• Coordinates complex transition plans with patients, families, health care team and community providers.
  • Utilizes the electronic medical record to monitor, document and communicate patient progress toward goals and progression of the social work plan.
  • Collaborates and communicates with interdisciplinary team anticipating needs to move the plan of care forward.
  • Provides support and information to patient and families regarding transition plan.
  • Maintains knowledge of government and private payer networks and services to assure appropriate transitions.
  • Collaborates with community and health care resources based on need to coordinate care for the patient.
• Advocates for patients and families by supporting patient rights and accessing protective services.
  • Demonstrates awareness of patient rights and ethical decision making; provides advocacy to support patient and family.
  • Assures appropriate reporting of vulnerability or suspected abuse as mandated by law.
• Ensures that a complete clinical handoff occurs for at risk patient, which may include referrals.
• Utilizes the electronic medical record to monitor, document and communicate patient progress toward goals and progression of the social work plan.
• Demonstrates awareness of patient rights and ethical decision making; provides advocacy to support patient and family.
• Delivers professional and thorough social work services, including psychosocial assessment and intervention planning.
  • Identifies patients who require social work assessment and intervention through high risk screening, interdisciplinary team meetings and individual referrals.
  • Conducts assessments that address bio-psycho-social issues for age, population and health specific needs which results in individualized plans of care.
  • Provides support and counseling to patients and families.
  • Provides information and assistance for identified financial or social needs.
• Collaborates with community and health care resources based on need to coordinate care for the patient.

Job Requirements

• Bachelor's degree in Social Work required or
• Valid Driver’s License required upon hire - MN and WI residents must obtain a valid driver’s license in their state of residence within 60 days of employment for positions in Hospice and Home Health
• WI licensure degree requirements will be accepted in accordance with MN Board of social work requirements for licensure by endorsement
• Licensed Social Worker - MN Board of Social Work required or
• Licensed Social Worker - WI Dept of Safety & Professional Services required
• 2 to 5 years social work experience preferred
• Care Management Certification for positions in Care Management within 2 years of hire required. Any current employee will need to complete certifications requirements by 12-31-2024 or at the earliest date when certification work experience requirements have been met.
• Master's degree in Social Work preferred
• 0 to 2 years of experience in a acute care setting preferred

Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently

Additional :

Weekend rotation of every 5th week

On med surg unit but in cardiac population.