Social Worker

1 month ago

North Chicago, United States Veterans Health Administration Full time

With administrative oversight by the Division Officer and Department Head, the Social Worker Case Manager provides independent social work expertise in assessment, data collection, and analysis. Assesses the patient's clinical and psychosocial status, diagnosis and current treatment plan. Coordinates the myriad of medical treatments, referrals, and education. Assesses the needs of patient/family/significant other's related to diagnosis, treatment options, psychosocial impact, and discharge planning. Specifically, the incumbent must:
(1) expertly assess the medical and psychosocial needs of new patients;
(2) identify the optimal range of treatments individualized to each patient;
(3) assure that the highest possible quality of treatment and related health services are provided in a timely manner; and
(4) develop, monitor, evaluate and revise the multiple protocols, procedures and practices as needed to successfully manage the area of specialization (following Case Management Society of America (CMSA) and Navy Bureau of Medicine (BUMED) guidelines related to Case Management).

PRACTICE (Practice, Ethics, Resource Utilization): Provides social work advice and consultation in person and via telephone/email to patients/family members/significant others. In collaboration with the multidisciplinary team, sets patient-centered goals for individual patients/families/significant others. Uses critical pathways/algorithms, databases, and other available resources to develop a comprehensive multidisciplinary plan of care. Plans and provides care to children, adult and geriatric patients considering cultural, psychosocial and spiritual needs.

PROFESSIONAL DEVELOPMENT (Education, Career Development, Performance): Plans for personal growth as related to professional goals based on self-assessment, evaluation, and feedback. Assumes responsibility for acquiring knowledge and experience to meet goals. Actively participates in professional organizations. Conducts training in clinical case management for professional and paraprofessional personnel within the department and the FHCC.

COLLABORATION (Collaboration, Collegiality): Collaborates with the health care team, community agencies, and other providers within and outside the command to ensure continuity of the patient's care through all health care settings. Promotes effective communication among health care team members, including the patient, family, and significant others. Participates in team meetings as needed. Integrates recommendations of the multidisciplinary team members into a single plan of care.

SCIENTIFIC INQUIRY (Quality of Care, Research): Participates in Performance Evaluation and Improvement (PE & I) activities by evaluating patient care systems that may include standards, protocols, and documentation for efficiency, safety, and quality. Incorporates evaluative data in the provision of ongoing case management services. Documents patient's progress on clinical pathways/algorithms. Plans care based on patient needs and health care needs, at home and in the health care setting. Utilizes Social Work interpretations to alert physicians to significant changes or abnormalities and provide medical information about the patient's condition, medical history and specialized treatment plan or protocol to other professionals. Applies critical thinking and analytical skills to identify barriers for care delivery. Utilizes creativity and innovation and recommends changes that will improve patient care and/or clinic efficiency, or decrease costs associated with care delivery. Serves as a resource to physicians, nurses and other professional personnel at other medical treatment facilities used as referral sources for patients. Shares experience, knowledge and skills.

Work Schedule: 7:00am to 3:30pm Monday to Friday
Telework: Ad Hoc
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

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