Care Coordinator Social Worker PRN

About the role

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America)

Responsibilities

• Implements discharge planning and provides resource information in a timely and efficient manner for patients.
• Identifies and documents barriers for timely disposition.
• Understands eligibility processes and criteria for both private and public local, state, and federal resources to assist in planning a safe and appropriate transition for discharge.
• Responds to referrals for patient assistance from RN Care Coordinators, physicians and the care team.
• Participates in Interdisciplinary Rounds with the patients care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.
• Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.
• Provides financial needs assessment for patients requiring assistance for follow-up care throughout the continuum.
• Advocates and partners with the patient and family to empower them to make autonomous health care decisions keeping the patient and their wishes at the center of all discharge planning.
• Allows for any cultural or religious beliefs in providing service and continuity of care.
• Participates in the development of protocols, procedures and performance improvement as indicated to optimize patient outcomes.
• Based on preliminary screening of patients, initiates assessment of patients psychosocial risk factors and availability of resources to assist upon discharge.
• Partners with the PAS, financial counselors and/or UM nurse to assess insurance and coverage requirements for all payers to ensure adherence to those requirements.
• Collaborates with the patient and family, along with the physician(s) and other members of the care team to fully establish and support both the patients care progression and discharge plans.
• Initial psychosocial /functional assessment completed and documented in medical record.
• Ensure all records are up-to-date and documentation is clear and concise.
• Ensure timely and accurate documentation of progress notes and interactions with patient/family.
• Accounts for and indicates all services arranged/delivered in Electronic Health Record.
• Track avoidable days and report trends that lead to undesired outcomes.
• Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
• Supports departmental-based goals which contribute to the success of the organization.
• Serves as a preceptor and/or mentor for social work students (if appropriate)
• Performs other duties as assigned
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Requirements

• Bachelors Social Work or Masters Social Work-Preferred
• Minimum 1 year of experience in healthcare in the acute care setting, related field or skilled care environment or community or educational internship in care coordination. A background in medical social work in an acute care setting is preferred.

Qualifications

• BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor (required upon hire unless otherwise stated)
• LCSW - Lic Clinical Social Worker GA Preferred or LMSW - Lic Master Social Worker GA Required

Skills

• Excellent written and verbal communication skill.
• Must possess maturity, self-confidence, objectivity, and positive attitude.
• Self-directed with the ability to function well under stress, handle change, and function in a fast-paced environment.
• Strong assessment, interview, organizational and problem-solving skills.
• Knowledge regarding local, state and federal regulations required.
• Knowledge of community and state-wide resources and programs.
• Ability to work collaboratively with physicians, members of the care team, and the patient/family to assist through the continuum of care.