IMM Medical Social Worker Iii-Abq - CARE Coordination

Location Address

1100 Central Avenue SE , Albuquerque, New Mexico , United States of America

Minimum Offer $: 30

Maximum Offer for this position is up to $: 45.82

Social Workers are part of the Case Management Team. 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.

The Medical Social Worker III intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for all patient populations.

This role will receive referrals and consults for patients from at risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team) in addition to case finding.

Sign on and relocation bonuses available for qualified candidates.

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system

Type of Opportunity: PRN

FTE: 0

Job Exempt:
No

Work Shift:

Days (United States of America)

• On the basis of referral, consultation or case finding assesses patients and families 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…