Pediatric Care Management Social Worker Days

The Role

Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.

Affords patients and families emotional, social, and financial support during their hospital stay, mobilizing family/community resources to meet identified needs while advocating for patient and family empowerment in health care decisions.

Documents discharge planning evaluations, ongoing assessments, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.

Communicates with and educates patients and families regarding the emotional, social, and financial impacts of illness, and coordinates post-acute care services and facilities as well as community care for social needs.

Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.

Participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.

Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission.

Knowledge, Skills, And Abilities

• Excellent interpersonal communication and negotiation skills
• Critical thinking and problem-solving skills
• Pychosocial assessment skills
• Customer service skills
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change
• Effective organizational skills
• Computer proficiency with Outlook e-mail and electronic medical records
• Flexible in a complex and changing healthcare environment
• Understanding of pre-acute and post-acute venues of care and post-acute community resources
• Maintains a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources
• Strong interview, assessment, and organizational skills
• Leadership skills
• Data analysis skills
• Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement
• Knowledge of state and federal guidelines pertinent to Care Management
• Ability to identify appropriate community resources and to work collaboratively with patients, families, multidisciplinary team and community agencies to achieve desired patient outcomes
• Knowledge of state and federal guidelines pertinent to care management

Education

• Master's Degree in Social Work

Work Experience

• 2+ care management experience
• 2+ social work experience

Additional Information

• Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements
• Licenses And Certifications: Accredited Case Manager (ACM) [Preferred], Certified Case Manager (CCM) [Preferred]

Physical Requirements

View work requirements

Pay Range

• $23.71 - $44.09