Care Coordinator SW-Kennestone-Care Coordination-Days

4 weeks ago

Marietta, United States WellStar Kennestone Hospital Full time

Job Title: Care Coordinator Social Worker Job Specialty: Care Management Job Duration: 13 weeks Shift: Day, 4x10 Friday, Saturday, Sunday, Monday (Weekend and holiday rotation) Guaranteed Hours: Not specified Experience: Minimum 1 year in healthcare in an acute care setting or related field, or community or educational internship in care coordination. A background in medical social work in an acute care setting is preferred. License: Social Work License Certifications: Basic Life Support (BLS) Must-Have: - Bachelor's Degree in Social Work or a Master's Degree in Social Work from an accredited college or university - Excellent written and verbal communication skills Job Description: - Responsible for providing psychosocial assessments for patients, including timely and appropriate planning to advance the discharge plan. - Assist with relaying information about community-based service offerings and guidance for patients/families dealing with multi-system factors impacting psychosocial dynamics. - Serve as a specialist on issues related to psychosocial and discharge needs, including end-of-life care planning. - Partner and offer feedback to the RN Case Manager concerning complex social determinants of health issues, situational dynamics, and social needs. - Implement discharge planning and provide resource information timely and efficiently. - Identify and document barriers to timely disposition. - Understand eligibility processes and criteria for both private and public resources for safe transitions. - Respond to referrals for patient assistance from care team members. - Participate in interdisciplinary rounds to ensure care transition plans are appropriate. - Initiate and facilitate post-acute referrals for timely transitions. - Conduct financial needs assessments for patients requiring follow-up care. - Advocate for and partner with patients and families in autonomous health care decision-making. - Account for cultural or religious beliefs in service provision and continuity of care. - Participate in developing protocols, procedures, and performance improvements for optimized outcomes. - Ensure timely and accurate documentation of progress and interactions. - Track avoidable days and report trends leading to undesired outcomes. - Complete all professional competency assessments, mandatory education, and required population-specific education. - Serve as a preceptor or mentor for social work students, if appropriate. - Perform other duties as assigned. For further details, candidates are encouraged to apply on our career site.

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