Social Worker

Job Description

Duties and Responsibilities:

• Coordinates the care and services for patients identified as needing assistance or meeting Care Management criteria.
• Collects in-depth information about a patient, medical, functional, and social condition, to identify individual needs in order to develop a plan to meet those needs.
• Works with patient and family/caregivers to determine specific goals and actions based on assessment. Coordinates discharge planning.
• Executes specific interventions to meet established goals.
• Organizes, integrates and coordinates the necessary resources to accomplish the goals and plan.
• Assesses the patient prior level of functioning, access to and/or use of community resources and available support systems.
• Assists the care team in developing a plan of care which includes, but is not limited to: assuring appropriateness of services and care setting, assuring individualized support and education, determining the need for continued services, planning for discharge, and identifying and connecting patients/families with available community resources if needed.
• Collaborates with Physicians and other members of the health care team on the patient behalf.
• Identifies appropriate admission and continued stay issues.
• Enhances the quality of patient care through effective and efficient use of resources.
• Helps to identify strategies for reducing length of stay and appropriate utilization of services.
• Utilizes criteria including clinical pathway data and implements strategies to resolve controllable variances.
• Attends, facilitates and participates in rounds and case conferences.
• Advocated for patient rights.
• Monitors efficiency and availability of services and evaluates outcomes through variance tracking, data collection.
• Identifies needs, facilitates, or provides education to physicians and ancillary departments/nursing units regarding case management, discharge planning process, and roles.
• Participates in multidisciplinary groups and development of guidelines.
• Promotes mission, vision, and values of Client Health, and abides by service behavior standards.
• Performs other duties as assigned.

Required Education:

• Graduate of an accredited school of social work, Sociology or related field is required.

Required Certifications & Licensure:

•  LCSW in Montana.

Preferred Certifications & Licensure:

• ACM or CCM certification.

Required Skills & Experience:

• Minimum of one (1) year clinical experience is required.

Preferred Skills & Experience:

• Two (2) years of case management experience in hospital setting is preferred.