Social Worker LSW Case Management Full Time

1 week ago

Lake Forest, California, United States Northwestern Memorial Healthcare Full time
Job Description

This is a full-time salaried position at 40 hours per week located at Lake Forest Hospital.

The schedule for this position is: 8am to 4:30 pm with a weekend rotation.

The Social Worker LSW reflects the mission, vision, and values of Northwestern Memorial Healthcare, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.

Responsibilities:
  • Conduct comprehensive assessments of patients and their families to identify social, emotional, cultural, mental status, environmental, and financial circumstances.
  • Develop and implement plans of intervention based on patient needs, preferences, and mutually established goals.
  • Provide psychosocial interventions, including reactions to illness and disability, especially for chronically and terminally ill patients.
  • Facilitate informed decision-making, including advanced directives, and develop treatment and intervention plans.
  • Adjust patients to the hospital setting and ensure compliance with treatment plans.
  • Link patients with community resources to support post-hospital care needs.
  • Address gynecological and obstetrical-related issues, including teen pregnancy, parenting issues, adoption planning, infant developmental problems, drug-exposed neonates, fetal death, unplanned pregnancy, pregnancy termination, and other care as needed.
  • Handle issues related to insurance coverage and payment, psychiatric symptoms, and chemical dependency.
  • Resolve conflicts and facilitate family and personal relationships that impact the plan of care and discharge plans.
  • Perform assessments of the physical environment and adequacy of support systems for outpatients to prevent crises and/or hospitalization.
  • Provide crisis intervention and/or Protective Services for the elderly without support systems, with impaired mental status, and/or victims of suspected abuse/neglect, as well as victims of suspected sexual/physical assault, victims of suspected child abuse or neglect, or victims of domestic violence.
  • Manage Discharge Planning through Placement Coordination, Resource Utilization, and Coordination of Skilled Home Health Care.
  • Actively participate in the stages of discharge planning and ensure that the plan of care is coordinated, facilitated, and effectively communicated to the physicians, healthcare team, patient, and family.
  • Provide initial screening for all new patients to assure medical necessity, source of funding, and likelihood of needing Social Work and/or discharge planning services.
  • Serve as the point person for the plan of care as it applies to discharge planning needs through facilitation of direct and continuous communication and collaborative decision-making, including participation in multidisciplinary rounds and case conferences and other collaborative forums.
  • Coordinate action plans when barriers are present to facilitate resolution.
  • Coordinate discharge planning to ensure a timely discharge through early identification, assessment, and intervention for post-hospital care needs.
  • Patient assessment, plan coordination, and changes to the plan occur, as necessary, to ensure that the patient is discharged when medically ready to other acute hospitals, rehabilitative facilities, extended care facilities, sub-acute care, psychiatric and chemical dependency care, return to home or other living arrangements.
  • Meet directly with patient and family to assess needs, preferences, and develop appropriate plans that involve home health care services in collaboration with the physician.
  • Ensure and maintain plan consensus from patient and family, physician, and payer.
  • Timely discharge is facilitated through early identification, ongoing assessment, and intervention for post-hospital care needs.
  • Collaborate and communicate with multidisciplinary teams in all phases of discharge planning, ensure and maintain plan consensus from patient and family, physician, and payer as indicated.
  • Proactively identify and resolve delays and obstacles to discharge.
  • Utilize advanced conflict resolution skills as necessary to ensure timely resolution of issues and system problems.
  • Seek consultation from and make referrals to appropriate disciplines and departments as required to expedite discharge plans.
  • Demonstrate knowledge of community resources and an ability to connect patients and families with these resources.
  • Act as an advocate on behalf of the patient who requires assistance to gain access to needed information, resources, or services.
  • Facilitate review of high-risk cases by Office of General Counsel, Risk Management, and inform appropriate members of the healthcare team as to interventions needed.
  • Coordinate interventions in collaboration with healthcare teams and ensure that interventions are successful.
  • Provide patient and family education that promotes wellness and increases knowledge of the healthcare system.
  • Demonstrate knowledge of the utilization management process, which includes level of care assignment, communication with payors, and benefit authorization for applicable situations.
  • Actively participate in Clinical Performance Improvement Activities.
  • Assist in the collection and reporting of financial indicators, including LOS, avoidable days, resource utilization, and discharge barriers.
  • Use data to drive decisions and plan/implement performance improvement strategies related to assigned patients/units, including financial, clinical, quality, and patient satisfaction data.
  • New graduates are required to participate in weekly clinical supervision with a LCSW Social Worker until a minimum of 3000 supervised hours is fulfilled.
  • Upon completion of three years post-masters degree, is eligible to provide graduate-level Social Work field supervision requiring a field placement.
  • Assume responsibility for professional development and meeting Social Work CEU requirements by participating in workshops, conferences, and/or inservices.
  • Comply with Northwestern Memorial Healthcare policies on patient confidentiality, including HIPAA requirements and Personal Rules of Conduct.
Qualifications:
  • Master's Degree in Social Work from a school of Social Work accredited by CSWE.
  • A high level of interpersonal skills to affect positive outcomes.
  • Organizational skills necessary to prioritize and manage an appropriate caseload of patients coupled with performing the Social Worker functions.
  • Self-direction required for daily work.
  • Analytical skills necessary to independently collect, analyze, and interpret data, resolve problems requiring innovative solutions, and to negotiate in sensitive situations.
  • Licensure in Illinois. Licensed Social Worker, LSW.

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