Job description

JOB PURPOSE:

Responsible for assessing and managing psychosocial, resource, and discharge planning needs for the most challenging discharge planning issues and complex patient needs. (i.e. long length of stay, uninsured, underinsured, multifaceted medical, surgical, social needs, undocumented, repatriation to other state or country) throughout their stay. These patients require in depth coordination and / or have more barriers to an effective discharge than the average patient population. This position will work with those specific patient populations to promote the achievement of optimal clinical and resource utilization and facilitates appropriate lengths of stay. Analyzes current systems and variances to identify opportunities for improvement to reduce barriers to discharge. Provide data to support analysis / trends of Long Stay Patients. Works to promote quality of care and effective transitions planning through collaboration with all service team members, physicians, patients, external agencies and families. The Lead will follow the patients managed for 30 days post discharge to help reduce readmissions and ensure community resources, follow up, post-acute management or services are in place. Provides Social Work Practice coaching to assigned staff to promote the development of responsibility, skill, knowledge, and ethical standards in the practice of Social Work.

IND789

MINIMUM EDUCATION REQUIRED: Master's degree in Social Work is required. MINIMUM EXPERIENCE REQUIRED: Two (2) years of Social Work experience in an acute hospital setting.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Licensed Master Social Worker (LMSW) or a Licensed Clinical Social Worker (LCSW) in the state of Georgia received within 18 months of hire.

ADDITIONAL QUALIFICATIONS: Current working knowledge of community programs, resources, voluntary agencies, charity agencies, support groups, clinics, services to support patients post discharge and transition back to the community. Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement. Certified Case Manager (CCM) and / or member of a professional association dedicated to the support and advancement of Social Work and / or Case Management preferred.

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