Social Worker Case Manager 1

4 weeks ago


Falls Church, United States Inova Health System Full time

The Social Worker Case Manager l evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and payer issues. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.

Job Responsibilities

  • Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.
  • Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression.
  • On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope.
  • Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability.
  • Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services.
  • Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings.
  • Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
  • Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community.
  • Documents relevant discharge planning information in the medical record according to department standards and/or care management plans. Collaborates/communicates with internal/external Case Managers.
  • Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.
  • Performs other duties as assigned.

This position is Wednesday, Thursday and Friday nights from 7pm-7am for Crisis Intervention, Bereavement Support and Discharge Planning.

Requirements:

Masters Degree in Social Work

One - two years of experience in clinical care or clinical case management

Basic Life Support through the American Heart Association upon start




Additional Requirements



  • Falls Church, United States Inova Health System Full time

    The Social Worker Case Manager l evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and...


  • Falls Church, United States Inova Health System Full time

    The Social Worker Case Manager l PRN evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and...


  • Falls Church, United States Inova Health System Full time

    As a Social Worker Case Manager l, you will provide/evaluate biopsychosocial impact on patients' plans of care. To help achieve our mission, you will evaluate the ability of patients to progress throughout the continuum of care. Working collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect...


  • Falls Church, United States Inova Full time

    Job Description The Social Worker Case Manager l evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management,...


  • Falls Church, United States Inova Health System Full time

    As a Social Worker Case Manager ll, you will provide discharge planning and continuity of care for assigned patients in the acute and post-acute settings. To help achieve our mission, you will provide/evaluate biopsychosocial impact on patients' plans of care. Your ability to evaluate patients' abilities to progress throughout the continuum of care is of...


  • Falls Church, United States Human Touch Home Health Full time

    Experienced Licensed Medical Social Worker- Fairfax County and surrounding areas Overview: We are seeking a compassionate and skilled Medical Social Worker to join our interdisciplinary healthcare team. As a Medical Social Worker, you will play a vital role in providing psychosocial support, counseling, and advocacy services to patients and their families...


  • Falls Church, United States Human Touch Home Health Full time

    Experienced Licensed Medical Social Worker- Fairfax County and surrounding areas Overview: We are seeking a compassionate and skilled Medical Social Worker to join our interdisciplinary healthcare team. As a Medical Social Worker, you will play a vital role in providing psychosocial support, counseling, and advocacy services to patients and their families...


  • Falls Church, United States Human Touch Home Health Full time

    Experienced Licensed Medical Social Worker- Fairfax County and surrounding areas Overview: We are seeking a compassionate and skilled Medical Social Worker to join our interdisciplinary healthcare team. As a Medical Social Worker, you will play a vital role in providing psychosocial support, counseling, and advocacy services to patients and their families...


  • Falls Church, United States Human Touch Home Health Full time

    Experienced Licensed Medical Social Worker- Fairfax County and surrounding areas Overview: We are seeking a compassionate and skilled Medical Social Worker to join our interdisciplinary healthcare team. As a Medical Social Worker, you will play a vital role in providing psychosocial support, counseling, and advocacy services to patients and their families...

  • Social Worker

    2 weeks ago


    Falls Church, United States Human Touch Home Health Full time

    Human Touch Home Health Care is looking for a PRN Home Health Social Worker to cover our Falls Church, VA office.Must be willing to see several patients a day in their home. **Job Summary**: The medical social worker is responsible for the implementation of standards of care for medical social work services. **Job Functions**: - Assesses the psychosocial...


  • Sioux Falls, United States Lutheran Social Services of South Dakota Full time

    Are you looking for an opportunity to combine your creativity, organization, and people skills? Then this is the position for you. #YouareLSSHOURS: Full-time employment to include day, evening, and some weekends and on-call. BENEFITS: $600 hiring bonus* 401K Match Paid Time Off & Holidays Comprehensive medical, dental and vision plans with HSA & FSA...


  • Sioux Falls, United States Lutheran Social Services of South Dakota Full time

    Are you looking for an opportunity to combine your creativity, organization, and people skills? Then this is the position for you. #YouareLSS HOURS: Full-time employment to include day, evening, and some weekends and on-call. BENEFITS: $600 hiring bonus* 401K Match Paid Time Off & Holidays Comprehensive medical, dental and vision plans with HSA & FSA...


  • Sioux Falls, United States Lutheran Social Services of South Dakota Full time

    Are you looking for an opportunity to combine your creativity, organization, and people skills? Then this is the position for you. #YouareLSS HOURS: Full-time employment to include day, evening, and some weekends and on-call. BENEFITS: $600 hiring bonus* 401K Match Paid Time Off & Holidays Comprehensive medical, dental and vision plans with HSA & FSA...


  • Falls Church, United States Inova Health System Full time

    Inova Fairfax - The Case Management Specialist coordinates and performs administrative activities to support the Case Management department. Participates in the annual and ongoing budget processes, arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in...

  • Social Worker

    2 weeks ago


    Niagara Falls, New York, United States Kalos Health Full time

    Job DescriptionJob DescriptionKalos Health is looking for a full-time Social Worker to join our teamThe Social Worker (SW) assists the Care Manager and the Member Services Representative in planning and coordinating various services lines in an effort to have the Member age in place in the least restrictive environment with an emphasis on the community. This...


  • Falls Church, United States Inova Health System Full time

    Fairfax Hospital - Transplant - Lung - The Case Management Assistant arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in order to ensure that appropriate continuing care services are in place for patient transitions. Communicates and documents accurate...


  • Falls Church, United States Capital Caring Health Full time

    Overview The PRN Pool Social Worker when called upon, helps people cope with the challenges they are facing in their lives. He/she will actively participate in coordinating all aspects of the patient’s care and is a client advocate and adviser.  This person also assists with the ongoing interdisciplinary comprehensive assessment, helps develop a plan of...


  • Falls Church, United States Capital Caring Health Full time

    Overview The PRN Pool Social Worker when called upon, helps people cope with the challenges they are facing in their lives. He/she will actively participate in coordinating all aspects of the patient’s care and is a client advocate and adviser.  This person also assists with the ongoing interdisciplinary comprehensive assessment, helps develop a plan of...


  • Falls Church, United States Capital Caring Health Full time

    Overview The PRN Pool Social Worker  when called upon, helps people cope with the challenges they are facing in their lives. He/she will actively participate in coordinating all aspects of the patient’s care and is a client advocate and adviser. This person also assists with the ongoing interdisciplinary comprehensive assessment, helps develop a...

  • Social Worker

    4 weeks ago


    Fergus Falls, Minnesota, United States Veterans Health Administration Full time

    VA Careers - Social Work: Social Work:The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you...