BSW Social Worker Case Manager

Job Summary

The Social Worker (BSW) is responsible for promoting patient-centered care by evaluating psychosocial needs and providing community service coordination for identified patient populations. As a member of a multidisciplinary health team, the BSW acts as a liaison between the patient and community resources/post-acute care providers. The BSW creates and facilitates the timely implementation of discharge plans and arranges post-acute interventions identified in the plan of care. The BSW facilitates patient movement across the continuum of care.

Qualifications

• Bachelor Degree in Social Work required
• 1 year of Case Manager/Social Worker experience required
• Inpatient experience preferred

What You Will Do in This Role

• Work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to proactively identify and address patient needs
• Identify and address barriers to discharge and recovery, including financial, emotional, psychosocial, medical, and spiritual
• Perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs
• Obtain input from the RN case manager to ensure the discharge plan is appropriate and aligns with the patient care plan
• Reassess and modify the patient discharge plan as needed, in conjunction with the clinical team
• Participate in the interdisciplinary care planning process and perform proactive discharge planning
• Provide education to patients and caregivers regarding community resources and post-acute level of care criteria, benefits, and coverage
• Coordinate and facilitate meetings between the care team and patients/families/caregivers
• Assist patients and families in making difficult decisions while honoring their preferences and values

Benefits

Portsmouth Regional Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.