Department:

34033 Wake Forest Baptist Medical Center - Nursing: Care Coordination

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday-Friday 8am-5pm

EDUCATION/EXPERIENCE: Master's degree in Social Work from a school accredited by the Council on Social Work Education (CSWE) LICENSURE, CERTIFICATION, and/or REGISTRATION: Clinical licensure (or provisional status) desirable Certification as an Accredited Case Manager preferred (ACM-SW) preferred ESSENTIAL FUNCTIONS: 1. Identifies patients who would benefit from Case Management interventions based on an initial screening assessment of discharge needs. 2. Assesses all relevant data and obtains information by interviewing patient/family and performing objective evaluation of patient needs. 3. Completes psychosocial assessments in accordance with departmental and professional standards to identify emotional, social and environmental needs related to diagnosis, illnesses, treatment and life situations. 4. Formulates, develops and implements a psychosocial treatment plan utilizing appropriate social work modalities and interventions, which may include crisis intervention, individual and family therapies, and grief and bereavement counseling. 5. Initiates appropriate internal and external referrals specific to individual patient needs. 6. Maintains current knowledge of available federal, state, and local regulations. 7. Advocates for unmet needs on behalf of patients. 8. Participates in the development of a discharge plan in collaboration with the multidisciplinary team to drive patient progression through the continuum of care. 9. Maintains current knowledge and awareness of payer and reimbursement practices impacting the plan of care. 10. Coordinates patient and family care conferences as needed. 11. Identifies barriers to efficient and effective management of patient care and seeks strategies to eliminate the barriers 12. Documents in in the Electronic Medical Record in accordance with departmental reporting standards. 13. Maintains working knowledge of payer and reimbursement practices impacting the plan of care. Demonstrates the ability to guide the patient and family through an evaluation of their options for post discharge care. SKILLS/QUALIFICATIONS: Demonstrates competence related to age and developmentally appropriate care Establishes positive work relationships and works to reduce work place conflict Demonstrates ability to work in fast paced environment with multiple interruptions Embraces change in rapidly changing health care environment Social work experience in a healthcare setting desirable WORK ENVIRONMENT: Clean, well lit, comfortable environment (office space) Exposure to sights and smells associated with medical treatments in process Moderate noise environment High stress levels at times PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing x Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: x 20 lbs. maximum x 50 lbs. maximum x 100 lbs.maximum

Pay Range

$28.05 - $42.10

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Provide social work services, complex discharge planning, and care coordination to patients and their families. Identify needed community services and refer patients in need to the appropriate services. Collaborate with other members of the multi-disciplinary team to affect positive patient and family outcomes. Communicate with other hospital staff re: psycho-social issues that impact health condition/status.