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Care Management-Social Worker

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Job ID: 953294
Facility: Vidant Medical Center
Location: Greenville, NC
FT/PT: Full-Time
Reg/Temp: Regular
Date Posted: Sep 28, 2021

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Job Description

Vidant Health

About Vidant Medical Center

Vidant Medical Center is a 900+ bed Level-1 Trauma Center, regional referral hospital and is the flagship hospital for Vidant Health. We serve as the teaching hospital for the Brody School of Medicine at East Carolina University. Vidant Medical Center provides acute, intermediate, rehabilitation and outpatient services to more than 1.4 million people in 29 counties. But it's in our work environment that you'll find our sense of family and closeness that permeates everything we do.

Position Summary

The Social Worker (SW) coordinates the delivery of care across the continuum and social work services to all inpatient and observation units of the hospital and designated outpatient and ambulatory treatment units. The SW provides collaboration and oversight in complex clinical issues to Nurse Care Managers (RN CM) and Discharge Coordinator (DC) staff. This role requires interaction with a variety of patient populations including, but not limited to, neonatal, pediatric, adolescent, adult, geriatric and behavioral health.

Provides advanced practice social work services related to patients' and family members' current and post-acute psychosocial and clinical needs. Completes psychosocial assessments; provides crisis intervention, emotional support, and short-term counseling with regard to diagnosis, treatment, and cross continuum care plans; and creatively identifies and accesses resources to optimize effective and efficient patient care outcomes in collaboration with other members of the - interdisciplinary team.

The SW is accountable for the management of identified complex care planning and social work functions for
assigned patient care area using advanced social work theory and advanced clinical practice skills appropriate to the age of the patient incorporating the patient/family's social and emotional state. Utilizes principles of individual, group and family therapy theories.

Proactive development, implementation and ongoing revision of an interdisciplinary plan of care. Negotiation and collaboration with the interdisciplinary team, community resources and payers to facilitate timely and cost effective care plans that enhance appropriate health and social services in the continuum of care are imperative.

Responsibilities

Completes psychosocial assessments. Identifies, develops, and implements plan of care for patients whom advanced practice social work services would be beneficial. 

Facilitates healthcare delivery process/coordinates care planning. 

Provides advanced practice social work interventions.

Advocates for patients, family members and organization; contributes to the professional development of self and others. Educates other disciplines about the importance of communicating appropriate clinical and psychosocial information to advanced practice social work staff, and intervenes when appropriate.

Participates in quality improvement. 

Inpatient Social Worker: Develops, implements and revises individualized interdisciplinary discharge plans involving the patient/family, legal representative and health care team. 

The ESRD/Transplant Clinical Social Worker- Provides social work services to transplant surgery/potential living donors and new ESRD clients in the acute clinical setting in collaboration with the interdisciplinary team. 

Emergency Department Social Worker- Anticipates the needs of patients and family members related to the emergency room visit and discharge plan; assesses and determines the most appropriate discharge plan for patients who have been released from IVC or requesting voluntary detox services; develops and implements plans of care which enhance quality, access, and cost-effective outcomes. 

Ambulatory- required prior experience working with a population needing Long term service and support, and/or home- and community-based care coordination, care delivery monitoring and care management, and in social work, geriatrics, gerontology, pediatrics or human services. 

Rehabilitation- Social work staff serve as the case manager and care coordinator for rehabilitation and ensures compliance with CARF standards.  

 

Minimum Requirements

Required Masters of Social Work degree from a CSWE accredited school of social work is required.

Preferred Requirements:

2 years of recent experience as a social worker in a health-related environment. Licensed
Clinical Social Worker/Licensed Clinical Social Worker Associate Certification in Case Management.

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