Licensed Clinical Social Worker, Case Management

About the Role

Case Management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote patient safety, quality of care, and cost-effective outcomes.

Social Workers are experts and vital participants in the care coordination team who empower people to understand and have access to quality, safe, and efficient health care services. As a member of the Case Management team, the Social Worker focuses on the psycho-social, financial, and transition needs to assist the interdisciplinary team in creating a transition plan which promotes optimal outcomes, including reducing related and unplanned re-hospitalizations. The Social Worker provides direct intervention on an as-needed basis with infants, children, adolescents, adults, and geriatric patients and their families.

Responsibilities

• Conduct an assessment of the patient’s health, physical, functional, behavioral, psychological, and social needs, including but not limited to: adjustment to medical or health condition; care coordination; mental health status; adjustment/compliance to treatment process; substance usage; child and elder abuse/neglect assessments; domestic violence issues; cognitive status (including guardian issues); and patient/family resources.
• Identify patient discharge needs by establishing a personal rapport with patients and their families.
• Consult with the physician/provider, Case Management team, and allied health providers to assist them in understanding significant social, emotional, and environmental factors related to the patient’s health.
• Educate patients, their families/caregivers, and members of the interdisciplinary team about treatment options, health insurance benefits, psychosocial and financial concerns to make timely and informed care-related decisions.
• Communicate on an ongoing basis with the patient, their family, health care professionals, and support service providers regarding the case management plan of care.
• Coordinate care interventions, referrals to specialty providers, and community-based support services, consults, and resources during the patient’s transition of care throughout the continuum of care.
• Provide necessary support for each patient and their family according to health status, personal strengths and weaknesses, emotional state, and additional factors.
• Provide crisis intervention and supportive short-term counseling to patients/families as necessary to meet immediate psycho-social needs.
• Provide bereavement counseling as needed.
• Investigate child or elder abuse or neglect cases and take authorized protective action when necessary.
• Provide patient advocacy to assist with decision-making by providing education and assistance with advance directives, guardianship, and medical durable power of attorney.
• Maintain patient confidence and protect operations by keeping information confidential.
• Maintain a cooperative relationship among health care teams by communicating information and participating in team problem-solving methods.
• Maintain current knowledge of local resources and relevant medical research to provide the best possible recommendations to patients.
• Continually evaluate the value and effectiveness of case management plans of care, resource allocation, and service provision while applying outcome measures reflective of organizational policies, accreditation standards, and regulatory requirements.
• Attend and participate in Interdisciplinary Team Meetings.
• Deliver Important Message from Medicare to patients as per CMS guidelines.
• Regular attendance and punctuality for scheduled shifts.
• Adapt assessment, treatment, and/or care methods to accommodate the physical, cultural, age-specific, and other developmental needs of each person served.
• Maintain professional and technical knowledge through continuing education opportunities, including internal and external educational offerings.
• Adhere to safety protocols at all times.
• Comply with DRH policy regarding required vaccinations.
• Undergo respirator and fit testing as required for exposure to airborne infectious diseases, droplet-producing procedures, or caustic chemicals.
• Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
• Perform other related duties as assigned.

Qualifications

• Communication skills including fluency in oral and written English.
• Basic computer skills, including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information tools.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to remain flexible and quickly adapt to urgent situations.
• Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position.

Education and Experience

• Must hold a Bachelor of Social Work (BSW) accredited by the Council of Social Work Education (CSWE). If applicant has a BSW, Licensed Social Work Associate (LSWA) preferred.
• Master’s degree in Social Work (MSW) accredited by the Council of Social Work Education (CSWE) or Licensed Clinical Social Worker (LCSW) preferred.
• Previous experience working in a health care setting preferred.

Certifications and Licenses

• All licenses must be issued by the Oklahoma State Board of Social Workers, must be current, and in good standing.
• A current, valid driver’s license and automobile liability insurance must be maintained.

Additional Requirements

This is a "Safety-Sensitive" position as defined by Oklahoma law. Applicants cannot test positive in pre-employment drug tests (or any drug tests administered after employment begins) for the presence of Tetrahydrocannabinol (THC), even if the applicant holds a valid medical marijuana card.

This position requires respirator and fit testing for exposure to airborne infectious diseases, droplet-producing procedures, or caustic chemicals.

As a condition of employment, vaccinations are required per DRH policy. Medical and religious exemptions are available upon request.