Shire Jobs

JOB REQUIREMENTS: POSITION SPECIFICS Title: Case Manager Social Worker FTE: 1.0 FTE (40 hours/week) Schedule: Monday-Friday 8:00am-4:30pm. This position will float between our primary care clinics (Lodi, Spring Green, Plain, Prairie du Sac, Mazomanie), as well as help cover in Continuum of Care department, located at the main hospital campus in Prairie du Sac, WI. Holiday Rotation: None On Call Requirements: None POSITION SUMMARY The Case Manager-Social Worker coordinates and facilitates patient care activities to promote optimum and appropriate utilization of resources, improve continuity of care across the continuum, and to contribute to patient satisfaction and outcomes throughout the SPH organization (clinics and hospital). This position serves as a patient advocate, as a resource to patients/families and staff, and as a leader of the interdisciplinary team continuity of care/discharge planning/aftercare planning/resources. This position also serves as a liaison between the patient, staff, and physician to establish and implement a plan of care for each patient. The Case Manager-Social Worker conducts assessments of the biopsychosocial needs of patients, assists with identification of resources to assure successful outcomes, and facilitates expedited discharges across the continuum of care. POSITION TECHNICAL RESPONSIBILITIES 1. Coordinate the integration of social services/case management functions into the patient care, discharge, and home planning processes with other SPH departments, external service organizations, agencies, healthcare facilities and providing resources to patients as needed. 2. Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff, CMS, ACHC, and other state agencies. Acts as patient advocate, investigates and reports adverse occurrences, and performs staff education related to resource utilization, SDOH, discharge planning, and psychosocial aspects of healthcare delivery. 3. Complete assessment of all patients referred or identified as having complex psychosocial concerns and/or as needing discharge planning services, including data related to home environment, support systems, community agency involvement and psychosocial concerns to determine post-hospital/clinic visit needs. 4. Identify, assess, plan, implement, and evaluate individualized patient plan of care that includes clinic care, acute hospital care, discharge plan, transition to home or alternate site, and the use of community resources in conjunction with the multi-disciplinary care team, the patient and their family. 5. Address internal and external social, economic, emotional, medical, nursing and psychological needs, through referral, which will extend beyond the hospital/clinics 6. Provide support to patients and families to improve their understanding of an adjustment to the diagnosis to maximize benefits of medical intervention and enhance patient and/or family functioning. 7. Identify and works to eliminate barriers to successful and safe discharge/aftercare plan implementation. 8. Assess patients for potential needs in a timely manner and identifies those in need of case management intervention. 9. Document accurate assessments and interventions in patient\'s electronic medical record in an effective and timely manner. POSITION REQUIREMENTS Education: Required: Bachelor\'s degree in Social Work Preferred: Master\'s degree in Social Work Experience: Required: None Preferred: Two or more years\' experience providing case management in a hospital or clinical setting Licenses and Registrations: Required: State of Wisconsin License as a Social Worker Preferred: Clinical Social Worker (LCSW) License Certification(s): Required: None Preferred: Advanced Practice Social Worker (CAPSW) Certification. American Case Management Association (ACMA) Case Management certification ***** APPLICATION INSTRUCTIONS: Apply Online: https //www.saukprairiehealthcare.org/about/careers/