Clin Care Social Worker

About the role

This position comprehensively plans for the coordination of care for the WVU Medicine patient population across the continuum. Performs psychosocial assessments, crisis intervention, resource management, discharge planning, care facilitation, and referrals to alternate levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes.

Responsibilities

• Manages all aspects of transition/discharge planning for assigned patients in a timely manner using escalation processes as needed when barriers encountered.
• Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
• Maintains extensive knowledge of federal, state, and local assistance programs and community resources that affect patient needs.
• Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
• Initiates and facilitates referrals to post-acute services- including but not limited to- Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
• Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to regulatory policies and procedures.
• Uses quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions.
• Fosters the integration of staff and/or students into the healthcare team.

Requirements

• Minimum Qualifications: Masters degree in Social Work, Current social worker licensure as required by the state where work is being performed.
• PREFERRED QUALIFICATIONS: One to three years of experience preferred.

Qualifications

• Core Duties and Responsibilities: See above Responsibilities section.

Skills and Abilities

• Excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues.
• Capable of independent judgment and action regarding psychosocial needs of patients.

Physical Requirements

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Working Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Additional Job Description

Scheduled Weekly Hours: 40
Exempt/Non-Exempt Shift: United States of America (Exempt)
Company: WVUH West Virginia University Hospitals
Cost Center: 403
WVUH Care Management
Address: 1 Medical Center Drive Morgantown West Virginia
Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws.