Clinical Social Worker - Case Management
Detroit Medical Center, Detroit, MI, United States
Overview
DMC Sinai-Grace Hospital
is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.
Benefits
At Tenet Healthcare, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance. The Available Plans And Programs Include
Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off (PTO)
Career development and continuing education opportunities
Health savings accounts, healthcare dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder care, childcare, auto and home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Summary Description
The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and preventavoidable readmissions. This position integrates national standards for case management scope of services including:
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers
This individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned.
Position Specific Responsibilities
Transition Management
Completes comprehensive assessment within 24 hours of patient admission to identify and document the anticipated transition plan for patients
Integrates key elements of patient assessment, patient choice and available resources to develop and implement a successful transition plan
Completes Complex/Psycho-social assessment and plan for patients identified as high risk for readmission
Provides psycho-social assessment and intervention for patients identified with needs including behavioral health, lack of support systems, financial barriers, end of life, and/or medication adherence
May delegate the implementation of the transition plan to LVN/LPN or Assistant staff and follows up to ensure the transition plan is completed timely and accurately
Ensures all elements of the transition plan are implemented and communicated to the healthcare team, patient/family and post-acute providers
Provides information to patients to make informed choices when community services per Tenet policy
Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy
Completes timely, complete and accurate documentation in the Tenet Case Management system to communicate information to the care team and provide documents needed in the patient record
Care Coordination
Screens patients for factors that may affect the progression of care and intervenes as needed to promote timely and appropriate throughput
Conducts assessments and stratifies patients at risk for readmission or in need of Case Management services
Assists with adoption/abuse
eglect cases and reporting of appropriate cases to local, state and/or federal agencies
Ensures the plan of care is consistent with patient choice and available resources
Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
Effectively collaborates with physicians, nurses, ancillary staff, payors, patients and families to achieve optimal outcomes
Education
Ensures and provides education to patients, physicians and the healthcare team relevant to the safe and timely patient transition
Provides patient and healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options
Ensures that education has been provided to the patient/family/caregiver by the healthcare team prior to discharge
Compliance
Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies
Operates within the Social Work scope of practice as defined by state licensing regulations
Qualifications
Minimum Qualifications
Master's degree in Social Work from a college or university social work program approved by the Michigan Board of Social Work and accredited by the Council on Social Work Education.
Current license as a Licensed Master’s Social Worker in the State of Michigan, or current limited license to engage in the practice of social work at the Master’s level in the State of Michigan, with full licensure within 3 years from date of hire.
Two years of acute hospital experience preferred.
Must complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire.
Attendance at hospital and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management and Compliance policies, Transition Management, and other topics specific to case management.
Accredited Case Manager (ACM) preferred.
Facility Description
DMC Sinai-Grace Hospital
is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children’s Hospital of Michigan, Children’s Hospital of Michigan - Troy and six ambulatory sites.
EEO Statement
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
#J-18808-Ljbffr
DMC Sinai-Grace Hospital
is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.
Benefits
At Tenet Healthcare, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance. The Available Plans And Programs Include
Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off (PTO)
Career development and continuing education opportunities
Health savings accounts, healthcare dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder care, childcare, auto and home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Summary Description
The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and preventavoidable readmissions. This position integrates national standards for case management scope of services including:
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers
This individual's responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs, j) timely complete and concise documentation in Case Management system, k) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned.
Position Specific Responsibilities
Transition Management
Completes comprehensive assessment within 24 hours of patient admission to identify and document the anticipated transition plan for patients
Integrates key elements of patient assessment, patient choice and available resources to develop and implement a successful transition plan
Completes Complex/Psycho-social assessment and plan for patients identified as high risk for readmission
Provides psycho-social assessment and intervention for patients identified with needs including behavioral health, lack of support systems, financial barriers, end of life, and/or medication adherence
May delegate the implementation of the transition plan to LVN/LPN or Assistant staff and follows up to ensure the transition plan is completed timely and accurately
Ensures all elements of the transition plan are implemented and communicated to the healthcare team, patient/family and post-acute providers
Provides information to patients to make informed choices when community services per Tenet policy
Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy
Completes timely, complete and accurate documentation in the Tenet Case Management system to communicate information to the care team and provide documents needed in the patient record
Care Coordination
Screens patients for factors that may affect the progression of care and intervenes as needed to promote timely and appropriate throughput
Conducts assessments and stratifies patients at risk for readmission or in need of Case Management services
Assists with adoption/abuse
eglect cases and reporting of appropriate cases to local, state and/or federal agencies
Ensures the plan of care is consistent with patient choice and available resources
Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care
Effectively collaborates with physicians, nurses, ancillary staff, payors, patients and families to achieve optimal outcomes
Education
Ensures and provides education to patients, physicians and the healthcare team relevant to the safe and timely patient transition
Provides patient and healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options
Ensures that education has been provided to the patient/family/caregiver by the healthcare team prior to discharge
Compliance
Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies
Operates within the Social Work scope of practice as defined by state licensing regulations
Qualifications
Minimum Qualifications
Master's degree in Social Work from a college or university social work program approved by the Michigan Board of Social Work and accredited by the Council on Social Work Education.
Current license as a Licensed Master’s Social Worker in the State of Michigan, or current limited license to engage in the practice of social work at the Master’s level in the State of Michigan, with full licensure within 3 years from date of hire.
Two years of acute hospital experience preferred.
Must complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire.
Attendance at hospital and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management and Compliance policies, Transition Management, and other topics specific to case management.
Accredited Case Manager (ACM) preferred.
Facility Description
DMC Sinai-Grace Hospital
is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children’s Hospital of Michigan, Children’s Hospital of Michigan - Troy and six ambulatory sites.
EEO Statement
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
#J-18808-Ljbffr