Social Worker, Jewish Hospital, Case Management

UofL Health•Louisville, KY

2d•Onsite

About The Position

Under the direction of the Manager and/or Director of Care Coordination, the Social Worker performs activities which support the Care Coordination Department. The Social Worker promotes optimal health care outcomes in accordance with the policies, procedures, applicable laws and contracts, philosophy, mission, vision and values of University of Louisville Hospital; assumes responsibility and accountability for the appropriate utilization of facilities and services and serves as a resource to physicians, nurses and ancillary staff. The social worker provides psychosocial assessment, discharge planning, information and referral services, counseling, and the coordination of services which meet the health-related needs of patients of all ages in an acute care setting. Must be able to adjust work hours depending upon departmental and organizational needs as determined by the director or manager.

Responsibilities

Conducts timely patient needs assessment to develop appropriate discharge/care management plan that will result in best possible outcomes
Documents all comprehensive social assessment, reassessment, and discharge/care management plan in EMR (Electronic Medical Record)
Coordinates discharge/care management plan by analysis of options, communication with patient, family, treatment team, insurers, and providers to maximize best possible outcomes
Implements discharge/care management plan in compliance with legal and ethical standards, departmental and hospital policies and procedures, and utilizing adequate knowledge of financial reimbursement criteria, provider and resource options, and interpretation of medical data
Communicates accurate, complete patient information in a timely manner to patient, family, Patient Care Team and prospective providers to facilitate discharge plan which best meets patient and family needs
Provides crisis intervention and patient advocacy to enhance patient and family ability to cope with psycho-social effects of illness/hospitalization
Serves as an advocate on behalf of patients in guardianship, abuse or resource issues
Identifies risk issues accurately and implements procedures which appropriately address risk concerns (APS, CPS, MIW, duty to warn, etc.)
Conducts family conferences routinely, especially for complex family situations or patients with complex or special needs, utilizing social work tools and skills to participate in the resolution and mediation of disagreements and conflicts within family/social systems as they arise in the hospital setting
Assesses patient to identify cognitive decline, depression, and other social issues prior to discharge
Makes referrals and coordinates services with community-based agencies related to education, mental health issues, potential abuse situations, financial assist or other social/environmental needs of the patients and family
Actively involved to meet organization metrics and goals to ensure the financial security of the organization
Acknowledges, addresses and completes are Consults to Social Worker on respective units in EMR
Participates actively in interdisciplinary patient care team meetings, providing leadership to the group as needed
Participates actively in committees, as assigned, assisting with projects and the work of the committee
Evaluates departmental products, procedures, and services systematically to ensure continuing effectiveness and to identify needed improvements
Provides education to co-workers, hospital and medical staff, and the community to provide information about departmental functions, social services-related concepts and services, and community resources
Pursues continuing education by participation in departmental or hospital-wide in-service programs, or in classes, workshops, or conferences
Supervises graduate social work students, as assigned
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned