CASE MANAGER SOCIAL WORK I
Job DescriptionDepartment:
CPC Transition Age ClinicFTE:
1.
00Full TimeShift:
DaysSign On Bonus available for New HirePosition
Summary:
Manage the medically related social and emotional needs of patients and their families as needs impinge on patient medical conditions, treatment, recovery and safe transition from one level of care to another.
Coordinate care with physicians, nursing staff, case managers and allied health professionals ensuring that patient outcomes are achieved within established timeframes and with maximum efficiency in resource utilization.
Conduct high-risk screening, initial and ongoing psychosocial assessments.
Ensure continuity of care through case management and discharge planning, providing social work interventions to expedite timely discharges, monitoring patient outcomes, and analyzing variances.
Ensure adherence to Hospitals and departmental policies and procedures.
Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.
Detailed
Responsibilities:
PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral CASE MANAGEMENT - Provide case management and discharge planning services in a timely and cost-effective manner to include patient assessment, planning, implementation, coordination, monitoring and evaluation ASSESSMENT - Complete psychosocial assessment of identified patients whose medical status, recovery, or timely discharge may be impeded by inadequate social, environmental, or economic conditions, by inadequate funding sources, and/or by impaired emotional or cognitive status including decisional incapacity ASSESSMENT - Assess patient level of functioning, including developmental, physical, environmental, cognitive, behavioral, psychological, economic, social, cultural and spiritual factors PATIENT ASSISTANCE - Provide assistance to facilitate patient recovery, discharge and/or management of an acute, chronic or terminal illness or condition; assistance may include education, community referrals, advocacy, and mediation with patients and families to assist in adjustment to changes in health status and functioning expediting timely discharge to an appropriate level of care OUTCOMES - Identify patients with a history of medical non-compliance, high resource utilization and poor outcomes; monitor patient outcomes, re-evaluate plans of care to accommodate changes in treatment or progress GOALS & OBJECTIVES - Assist in resolution of identified barriers and develop alternative goals and objectives with patients and family members DOCUMENTATION - Document assessment data, patient problems, interventions taken to achieve outcomes and evaluation of patient progress toward targeted outcomes LIAISON - Serve as UNMHSC liaison to state protection agencies for all reports and/or concerns of patient abuse, neglect or exploitation LEGAL COORDINATION - Coordinate with UNMHSC Office of Legal Counsel regarding matters involving treatment guardianship and/or other legal issues COMMUNICATION - Use effective communication strategies with patients, families, physicians, nurses, allied professionals and others to achieve desired patient outcomes and patient satisfaction CARE COORDINATION - Coordinate multidisciplinary care planning, including patient care conferences as appropriate to facilitate resolution of treatment decisions and timely discharge planning RELATIONS - Develop and maintain positive relationships with community agencies and third party payor sources EDUCATION - Contribute to education of physicians, nurses, allied health professionals and students RESOURCE - Acts as resource to professional colleagues; provide staff training, development and consultation as appropriate DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may not seem rightQualificationsEducation:
Essential:
Master's DegreeEducation specialization:
Essential:
Related Discipline
Experience:
Essential:
No minimum experience requiredNonessential:
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or NavajoCredentials:
Essential:
NM LMSW or LPC or LCSWNonessential:
Licensed Clinical Social Worker in New Mexico Licensed Master's Social Worker in New MexicoPhysical Conditions:
Sedentary Work:
Exerting up to 10 pounds of force occasionally (Occasionally:
activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently:
activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body.
Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Working conditions:
Essential:
No or min hazard, physical risk, office environment May be required to travel to various work sites May be required or is required to perform on-call duties May work rotating shifts, holidays and weekendsDepartment:
Care Management Recommended Skills Assessments Care Coordination Care Planning Case Management Communication Consulting Estimated Salary: $20 to $28 per hour based on qualifications.
CPC Transition Age ClinicFTE:
1.
00Full TimeShift:
DaysSign On Bonus available for New HirePosition
Summary:
Manage the medically related social and emotional needs of patients and their families as needs impinge on patient medical conditions, treatment, recovery and safe transition from one level of care to another.
Coordinate care with physicians, nursing staff, case managers and allied health professionals ensuring that patient outcomes are achieved within established timeframes and with maximum efficiency in resource utilization.
Conduct high-risk screening, initial and ongoing psychosocial assessments.
Ensure continuity of care through case management and discharge planning, providing social work interventions to expedite timely discharges, monitoring patient outcomes, and analyzing variances.
Ensure adherence to Hospitals and departmental policies and procedures.
Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups.
Detailed
Responsibilities:
PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral CASE MANAGEMENT - Provide case management and discharge planning services in a timely and cost-effective manner to include patient assessment, planning, implementation, coordination, monitoring and evaluation ASSESSMENT - Complete psychosocial assessment of identified patients whose medical status, recovery, or timely discharge may be impeded by inadequate social, environmental, or economic conditions, by inadequate funding sources, and/or by impaired emotional or cognitive status including decisional incapacity ASSESSMENT - Assess patient level of functioning, including developmental, physical, environmental, cognitive, behavioral, psychological, economic, social, cultural and spiritual factors PATIENT ASSISTANCE - Provide assistance to facilitate patient recovery, discharge and/or management of an acute, chronic or terminal illness or condition; assistance may include education, community referrals, advocacy, and mediation with patients and families to assist in adjustment to changes in health status and functioning expediting timely discharge to an appropriate level of care OUTCOMES - Identify patients with a history of medical non-compliance, high resource utilization and poor outcomes; monitor patient outcomes, re-evaluate plans of care to accommodate changes in treatment or progress GOALS & OBJECTIVES - Assist in resolution of identified barriers and develop alternative goals and objectives with patients and family members DOCUMENTATION - Document assessment data, patient problems, interventions taken to achieve outcomes and evaluation of patient progress toward targeted outcomes LIAISON - Serve as UNMHSC liaison to state protection agencies for all reports and/or concerns of patient abuse, neglect or exploitation LEGAL COORDINATION - Coordinate with UNMHSC Office of Legal Counsel regarding matters involving treatment guardianship and/or other legal issues COMMUNICATION - Use effective communication strategies with patients, families, physicians, nurses, allied professionals and others to achieve desired patient outcomes and patient satisfaction CARE COORDINATION - Coordinate multidisciplinary care planning, including patient care conferences as appropriate to facilitate resolution of treatment decisions and timely discharge planning RELATIONS - Develop and maintain positive relationships with community agencies and third party payor sources EDUCATION - Contribute to education of physicians, nurses, allied health professionals and students RESOURCE - Acts as resource to professional colleagues; provide staff training, development and consultation as appropriate DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may not seem rightQualificationsEducation:
Essential:
Master's DegreeEducation specialization:
Essential:
Related Discipline
Experience:
Essential:
No minimum experience requiredNonessential:
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or NavajoCredentials:
Essential:
NM LMSW or LPC or LCSWNonessential:
Licensed Clinical Social Worker in New Mexico Licensed Master's Social Worker in New MexicoPhysical Conditions:
Sedentary Work:
Exerting up to 10 pounds of force occasionally (Occasionally:
activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently:
activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body.
Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Working conditions:
Essential:
No or min hazard, physical risk, office environment May be required to travel to various work sites May be required or is required to perform on-call duties May work rotating shifts, holidays and weekendsDepartment:
Care Management Recommended Skills Assessments Care Coordination Care Planning Case Management Communication Consulting Estimated Salary: $20 to $28 per hour based on qualifications.
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