Pediatric Social Worker Case Manager

18 hours ago


Springfield, Illinois, United States Inova Health System Full time
Job Summary

We are seeking a highly skilled Pediatric Social Worker Case Manager to join our team at Inova Health System. The ideal candidate will have a strong background in social work and experience in pediatric care management.

Key Responsibilities
  • Evaluate patients' ability to progress throughout the continuum of care and develop effective care plans.
  • Collaborate with physicians, nursing staff, and other members of the multidisciplinary care team to ensure timely and appropriate patient management.
  • Provide discharge planning and continuity of care for assigned patients in the acute and post-acute settings.
  • Coordinate services and act as a key liaison between patients, families, and the interdisciplinary healthcare team.
  • Participate in the assessment of patients' biopsychosocial needs and communicate regularly with patients, families, and healthcare team members.
  • Ensure 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.
  • Refer cases and issues appropriately to resolve barriers to care progression and act as an advocate for patients.
  • Assess psychosocial risk factors of patients/families and intervene with emotional, social, and financial consequences of illness and/or disability.
  • Provide counseling and interventions related to treatment and end-of-life decisions and advocate for patient/family empowerment and independence.
  • Initiate and facilitate referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment, and supplies as indicated.
  • Collaborate with the interdisciplinary care team, patients, and families in the assessment/coordination of discharge planning needs and delivery of post-discharge services.
Requirements
  • MSW in Social Work
  • Basic Life Support through the American Heart Association
  • One year of experience in clinical care or clinical case management
  • Pediatric experience is highly preferred


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