PRN Social Worker Case Manager - Discharge & Care Navigator

Inova Fairfax Hospital is looking for a dedicated Experienced Social Worker Case Manager to join the Case Management Team. This role will be PRN. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules The Social Worker Case Manager l PRN evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and payer issues. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members. Social Worker Case Manager Job Responsibilities: Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression. On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope. Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability. Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings. Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated. Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community. Documents relevant discharge planning information in the medical record according to department standards and/or care management plans. Collaborates/communicates with internal/external Case Managers. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members. Performs other duties as assigned. Minimum Qualifications: Certification: Basic Life Support - Upon Start Experience: 1 year experience in clinical care or clinical case management Education: Master's Degree Social Work (MSW) Preferred Qualifications: One (1) year of previous inpatient case management and discharge planning experience is highly preferred. About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law. Job Info Job Identification 689862 Job Category Behavioral Health & Social Services #J-18808-Ljbffr Inova Health System