Job Summary

Manages the care for a specific group of patients; facilitates the safe movement of patients throughout the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review agencies, local, state, and federal requirements. Collaborates with patients/families/caregivers and the healthcare team in the treatment planning process. Provides psychosocial assessments, education to patients/families/caregivers to assist in coping with the patient's disease process and care needs. Performs other duties as assigned.

Job Responsibilities

• Perform a comprehensive psychosocial assessment to identify the patient's health goals and coordinate services. Meets directly with patient/family/caregiver on an ongoing basis as identified.
• Identify the need for patient/family/caregiver regarding Social / Psychosocial issues that need to be addressed.
• Build on the psychosocial assessment in developing, coordinating, implementing and revising a plan of care to ensure continuity of care, cost reduction, promote treatment compliance and prevent delays.
• Collaborates with the physician and all members of the multidisciplinary team to facilitate care and assist in meeting treatment goals.
• Completes assigned goals.

Specifications

Experience

Description Minimum Required Preferred/Desired

Education

Description Minimum Required Preferred/Desired

Bachelors in Social Work

Training

Description Minimum Required Preferred/Desired

BSW graduate of an accredited school of social work

2 years clinical experience as a social worker in medical/clinical setting

Special Skills

Description Minimum Required Preferred/Desired

Excellent interpersonal communication and negotiation skills. Ability to identify and coordinate appropriate resources in the community. Ability to work with people of all social, economic, and cultural backgrounds. Computer skills.

Licensure

Description Minimum Required Preferred/Desired

BSW CCM;ACM;BSW