St. Luke's

PerDiemSocialWorkCareManagerStarCommunityHealth

Bethlehem, Pennsylvania, United States PART TIME Remote Friendly
The Brief

“Per Diem - Social Work Care Manager- Star Community Health at St. Luke's. Skills: social work care management, bio-psychosocial assessment, resource navigation, patient advocacy, interdisciplinary collaboration, documentation. Providing social work care management services to patients and their families. Provides assessment, care planning and intervention to patients and families, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate”

What You'll Achieve.

improve access to care in the communities we serve, regardless of a patient's ability to pay for health care; positive patient outcome; efficient and effective continuity of care; utilization of resources; avoid unnecessary hospitalizations

Industry & Context.

Problems you'll solve

assists patients and families in resolving problem areas; identify and resolve problems that may interfere with a positive patient outcome

Eligibility Requirements

Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, climb stairs, Must be capable of driving a car, Fingering and handling objects frequently, Occasionally firmly grasp, twist and turn objects with hands and fingers, May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds, Occasionally stoops, bends, squats, kneels and reaches above shoulder level, Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision, Must have the ability to touch as related to telephone and computer keyboard

What They're Looking For.

Must Have

Master's degree in social work from an educational institution accredited by the National Council on Social Work Education (NCSWE) required, State licensure for MSW in NJ required (if position routinely supports NJ residents)

Nice to Have

Bilingual preferred, State licensure for MSW in PA preferred

What You'll Do.

Providing social work care management services to patients and their families

care planning and intervention to patients and families

including psychosocial and resource evaluation and planning

as well as crisis intervention as appropriate

Provides counseling directed towards helping patients and families cope with and understand the relationship between physical functioning

illness and the consequent socialotional impact and adjustments required

Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement

Ensures appropriate clinical and patient care documentation in patient charts

completes reports and other requested/required patient documentation as needed

and maintain required statistical documentation for the department's management information system

Acts as a liaison to community agencies

to address systems issues affecting patient outcomes by serving

in community groups and organizations

How You'll Work.

Team & Collaboration

collaborates with the Outpatient Care Manager RN, Care Management Outreach Coordinator and multidisciplinary teams as needed to address the social needs of the patient; Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination; Organizes individual patient care meetings with internal and as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome; Collaborates proactively with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations

Communication Scope

communication appropriate to the age of the patient treated

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