PeaceHealth is seeking a Care Management/Clinical Social Work for a Per Diem/Relief, 0.00 FTE, Variable position.
Hourly compensation is $35.67 - $53.50; hiring rate dependent on qualifications and professional experience.
Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.
Responsible for identifying and interacting with medically and psychosocially complex patients and families who are likely to benefit from care management and meet high risk criteria and for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care team.
- Screen and identify patients who need care management per high risk criteria.
- Assess, develop, implement and monitor a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family. Collaborate with the multi-disciplinary team to identify problems or needs that require special planning, intervention, teaching or follow-up.
- Identify key problems, strengths, and resources to be addressed in the discharge plan of care. Coordinate and facilitate improved ability to comply with plan of treatment; counseling or support needed to cope with situation; improved ability to access appropriate level of care due to lack of financial resources or lack of available service.
- Actively support measures that promote effective use of resources.
- Identify, plan and arrange for appropriate services applying a knowledge of services available in the community, state, and federal health regulations and admission, discharge and appropriate level of care. Coordinate effective planning and arranging for needed services upon discharge.
- Intervene by arranging services, education and providing psychosocial support to prepare the patient and their family to manage their healthcare needs within the acute care setting and post discharge.
- Coordinate with the interdisciplinary team and community resources when appropriate, regarding the multiple details of transitional care management plan. Consult with physician as indicated.
- Works with patients identified and referred to them by RN Care Management and/or other members of the care team, as well as by patients/families.
- Conducts evaluation to include appropriate documentation and the effectiveness of the Care Management services. Collaborates with team members to identify cause and adjust plan if patient’s health status is not improving.
- May counsel patients and/or families to facilitate and/or participate in community care services, in coordination with the physician and treatment team. Works as an integral member of the treatment team in the coordination of treatment and transition of care planning. Assesses and addresses both mental health and chemical dependency conditions. May perform risk assessments for suicidality and homicidality.
- Performs other duties as assigned.
- Provides crisis intervention services to all patients deemed appropriate by ED physician using strength based, solution focused approach.
- Provides evaluation for chemical dependency and psychiatric care, utilizing Interqual and ASAM criteria to guide the recommendation for appropriate level of care.
- Services as a resource in conjunction with Crisis Response Services and other community agencies. Serves as a liaison with other service areas to optimize the continuum of patient care.
- Recognizes and diffuses violent behavior.
- Master’s Degree in Social Work from an accredited graduate school of social work.
- Must attend PROACT (crisis management) training provided by hospital.
- Knowledge of community resources, knowledge of Medicare, Medicaid and insurance requirements as these relate to continuing care.
- Two or more years of clinical experience with designated population; hospital, emergency room, chemical dependency, or community agency experience preferred.
- Must have LCSW, LICSW, or must have CSWA (Clinical Social Work Associate) status.
- Familiarity with medical terminology and conditions as these impact discharge needs
- Excellent verbal and written communication skills
- Must possess superior ability to work collaboratively within a team.
- Must possess excellent organizational skills.
- Ability to document on electronic record
ST. JOSEPH PHYSICAL/COGNITIVE REQUIREMENTS
- Work requires normal amounts of physical effort at least 66% of the time.
- Ability to lift objects weighing 30 lbs. or less.
- Work is performed under normal working conditions with adequate lighting and ventilation.
- Job duties frequently require intense concentration and attention to detail (34-65% of work time).
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.