Job description
Overview- This position is eligible for $2,000.00 Bonus Potential
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
Join us. Let’s go beyond expectations and transform healthcare together.
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth’s mission is to improve the health and well-being of those we serve.
As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members. With this in mind, we require all new hires to have received the first dose of a COVID-19 vaccine before their start date and be scheduled for their second dose. New hires who choose to receive the Johnson & Johnson vaccine only need one dose to fulfill this requirement. Reasonable accommodations will be considered.
Responsibilities
Job Summary
Accountable for an assigned caseload, works collaboratively with patients, caregivers, healthcare providers, and external partners to ensure that care is coordinated and complex information is provided across the health care continuum, resulting in a smooth transition of care with positive patient/family experience, outcomes, high quality, and cost-effective care.
Collaborates with patients/caregivers early in the inpatient, and/or outpatient episode in preparation for discharge to include supportive care, end-of-life decisions, community resources/programs, goal setting, and long-term planning needs. Interviews, identifies and executes safe post-acute interventions to include pre/post discharge home visits, behavioral health service coordination, guardianship, repatriation, adoptions, CPS, APS, ALTAC, etc. Assesses readmission risk and barriers to care outpatient including home support, medication management, expectation, etc. Initiates and assists patients with advance directives.
Facilitates smooth and timely transition from acute care to the appropriate level of care by providing communication of clinical information and plan of care between the hospitalists, specialists and PCP, as well as other key providers. Communicates financial obligations and other key information pertinent to the discharge plan to the patient, family, MPOA, etc. Assures effective transition and final hand-off to the next appropriate level acuity case management team. Communicates key information regarding inpatient stay and discharge plans to payer in order to obtain authorization for services.
Promotes a collaborative process and communication between all health care team members, inclusive patients/clients, families and significant others to ensure the process of integrated care services are targeted, appropriate, and beneficial to the population served from admission through the discharge process. Participates in the development and maintenance of Case Management metrics. Maintains and manages to caseload
May act as a patient advocate through the continuum and is available to the physician, patient and family as a resource to facilitate communication and monitors patient care to ensure that the patient receives quality care through the use of standards of care and evidence based practice guidelines. Advocates utilizing knowledge of applicable laws, regulations, government and insurance benefits as well as practice guidelines and standards of practice.
Performs other related duties as assigned or requested.
Qualifications
Education
Master's Degree in Social Work Required
Experience
1 year as a Licensed Social Worker, and/or successful completion of health related field placement in Master's level Social Work Program Required
Licenses and Certifications
Case Mgmt/Social Services\LMSW - Licensed Medical Sw Must have one of the following current licensure:
LSW (Licensed Social Worker)
LMSW (Licensed Master Social Worker)
LCSW (Licensed Clinical Social Worker) Required
Facility
Support Services
Department
Case Mgmt
Work Hours
830a-5p
Shift
01 - Days
Position Type
Regular Full-Time
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