Medical Social Worker - Inpatient Care Coordination

Type of Opportunity: Per Required Need
FTE: 0.001000
Exempt: No
Work Schedule: Days.

8 or 10 hour Days

Presbyterian Hospital - on-site

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.

How you grow, learn and thrive matters here.

Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Shift differentials for nights and weekends
• Differentials for higher education, certifications and various lead roles
• Malpractice liability insurance
• Loan Forgiveness through the New Mexico Higher Education Department (to learn more click here https://hed.nm.gov/financial-aid/loan-repayment-programs/health-professional)

Summary:
As a Social Worker are part of the Case Management Team in Care Coordination. Referrals for social work intervention require evaluation of needs to be met, understanding specific patient centered outcomes, and accountability of action within a case management team structure. Medical Social Workers assist with patient discharges from the hospital and coordinate care of patients with complex needs that require multiple services over time.as well as handling crisis intervention.

Have more questions about this opportunity? Schedule a one-on-one chat with a Nurse Recruiter by clicking here: Select a Date & Time - Calendly

Social Worker III

*Masters degree in Social Work required.
*Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
*License with ten years hospital social work or discharge planning experience in relevant setting required.
*Licensed Medical Social Work License (LMSW) preferred.
*National Case Management certification preferred

Social Worker II

*Masters degree in Social Work required.
*Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
*License with five years hospital social work or discharge planning experience in relevant setting required.
*One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
*National Case Management certification preferred.

Social Worker I

*Masters degree in Social Work required
*Current license from the State of New Mexico as a Licensed Independent Social Worker-LISW, Licensed Clinical Social Worker-LCSW, or Licensed Medical Social Work-LMSW.
*License with one to two years hospital social work or discharge planning experience in relevant setting required.
*One to two years hospital social work experience, protective services, or practicum in acute care settings experience desired.
*National Case Management certification preferred

BLS Certification required at time of hire.

Responsibilities:
*On the basis of referral, consultation or case finding assesses patients and family s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
*May provide initial screening in the ED for crisis intervention and overcapacity situations.
*Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs: Provides appropriate crisis management to patients and families.
*Provides support and counseling to patients / families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnosis, changes in living situations and bereavement.
*Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault.
*Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
*Participates and arranges discharge planning activities for patients, to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
*Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
*Works collaborates with the case manager and multidisciplinary team members regarding discharge planning and arranges for the appropriate level of care needed as determined by patients continuing clinical care needs.
*Educates patient/family and physician regarding post-acute options and addresses issues of choice.
*Actively participates and provides pertinent information in complex rounds discharge planning huddles, unit daily whiteboard rounds.
*Functions as the lead in assisting patients and families to obtain available financial and other resources including but not limited to Medicaid, SSDI, County Indigent Funds, UNM Cares, etc.
*Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
* Assists as indicated with end-of-life matters
* Meets CMS Condition of Participation Requirements and applicable state and federal regulations.
*Serves as a lead in obtaining legal guardianship and competency determinations. Completes and disseminates all necessary legal in clinical documentation as required.
Provides and updates community services resources, advice, and referral information.
*Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization. Serves as preceptor, mentor, and resource to less experienced staff.
*Results of assessments, interventions and discharge planning are documented in the medical record according to departmental policies and procedures.
*Other duties as assigned.

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/why-work-with-us/benefits

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

About Presbyterian Healthcare Services

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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