SOCIAL WORKER MSW

US:NV:Carson City Case Management

Full Time Day Shift

Summary

• This individual is responsible to facilitate care through the continuum utilizing effective resource coordination to promote optimal access to care balancing the patients’ resources and right to self-determination.
• The overall responsibility to assess the patient for transition of care needs and risk for readmission.
• This individual will be able to conduct complex psycho-social assessments and provide interventions to assist with throughput, safe discharges and avoid readmissions.
• Has focus on complex social and post-acute care services.

Qualifications

Required:

• Master in Social Work from accredited school of Social Work
• Excellent interpersonal, written and verbal communication skills
• Demonstrated organizational skills, critical thinking and problem-solving skills and computer literacy
• Unrestricted licensure in the State of Nevada in one of the following:
• • Licensed Social Worker (LSW)
  • Licensed Masters Social Worker (LMSW)
  • Licensed Clinical Social Worker (LCSW)

Preferred:

• Two (2) years of acute care coordination experience
• Ability to obtain Accredited Case Manager (ACM) certification

Unit Specific Requirements

Behavioral Health Services

Required:

• Non-Violent Crisis Intervention (NVCI)
• • If hired prior to 8/6/2023, must successfully complete NVCI by June 30, 2024.
  • If hired after 8/6/2023, must successfully complete NVCI within six (6) months of hire or position entry.
• Current, unrestricted driver's license

Essential Functions

Transition Management

• Completes initial /comprehensive assessment within 24 hours of admission, including anticipated transition (discharge) plan.
• Provides psycho-social assessment and intervention for patients identified with behavioral health issues, lack of social support systems, financial barriers, end of life and plan of care adherence.
• Ensures plan of care and interventions are implemented and communicated to health care team, patient/family and post-acute care providers.
• Complete timely, accurate and concise documentation in the Electronic Medical Record.

Care Coordination

• Screens high risk and referred patients for psycho-social issues/barriers, that may impact the transition plan and intervenes as appropriate.
• Assists with adoption/abuse/neglect cases and reports to appropriate external agencies as required.
• Collaborates with patient/family/health care team to ensure patient preferences and choices are taken into consideration within the limitations of available resources.

Education

• Ensure patient/ family receive education appropriate to their specific discharge plan.
• Provides education to medical and nursing staff regarding relevant issues related to transition plan.
• Precepts new staff members and acts as resource to all staff.

Compliance

• Ensures compliance with local, state and federal regulations and accreditation requirements.
• Operates within social work scope of practice as defined by the state licensing board.
• Participates in department Quality improvement initiatives.

Complex Case Management

• Completes clear, concise and accurate initial/discharge planning/complex psycho-social assessments and reassessments per departmental guidelines (assessments within 24 hours of admission, reassessments every 3 days or as needed for change).
• Escalates barriers to transition planning per departmental escalation plan.
• Completes post-acute referrals within 3 days of admission.
• Schedules and facilitates complex case patient/family conferences as needed (at a minimum of weekly).