Caseworker (Full Time)

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

We're more than a hospital. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

When working here, you're surrounded by passion, diversity, and dedication. Full Time

Hourly

John Peter Smith Hospital

Shift Worked:
Shift Worked:

The Social Worker - Outpatient MSW assists patients and their family members by obtaining services or initiating referrals in an effort to eliminate personal or environmental barriers which may interfere with maximum benefits of health care. This job supports the provider and interdisciplinary team in facilitating and coordinating patient care through the continuum.

Makes referrals to the appropriate resources within the JPS Health Network and within the community.

Collaborates one-on-one, in huddles or team meetings with Providers, Nurse Case Managers and Patient Centered Medical Home (PCMH) staff focusing on identifying the needs of complex high-risk patients. (Provides brief supportive counseling to patients and families exhibiting complex family dynamics directly impacting patient care.

Assists patients and families to cope with and manage life-changing diseases, death and dying, advanced directive education, disabilities, etc.

Supports patients and providers with reviewing and completing various eligibility forms for social programs, funding sources, durable medical equipment, etc.

Follows-ups with patients and families ensuring that services provided are helpful, appropriate, and adequate. Aids with care coordination for patients with complex psychosocial needs including providing services in a variety of settings (i.e. PCMH, patient homes, hospitals and other health care locations). Local travel may be required to perform duties at multiple sites. (Travel is required while working under the Post Acute program).

Educates patients and families regarding various care options (i.e. home care, nursing home, hospice, etc.) and ensures that the patient’s choices are incorporated into the care coordination plan.

Documents each component of the case management process and related activities in the electronic medical record system according to departmental guidelines.

Assists with cost containment, short-term intervention, ambulatory and community‑based care, and decentralization of services.

Complies with National Association of Social Workers (NASW) Code of Ethics and maintains legal and regulatory accountability.

Local travel may be required.

Attends multidisciplinary meetings held within SNF/IRF to determine care plan. Meetings will be held both in person and virtually as determined by the needs of the facility and patients in the program.

Serves as a liaison between the Social Services Teams within the post-acute agencies to ensure smooth transitions for patients in the post-acute program.

Provide coverage support to the JPS Care Management Outpatient team as needed.

Master’s Degree in Social Work from a program accredited by the Council on Social Work Education.

2 plus years social work experience (including internship work) with one year in a health care setting.

Social Work licensure through the Texas State Board of Social Work Examiners.

Case Management Certification (ACM or CCM).

Experience working in the post-acute setting (hospice, home health, nursing home or inpatient rehabilitation hospital).

J-18808-Ljbffr JPS Health Network