Caseworker (Full Time)

This position is responsible for assisting in meeting the patient’s needs throughout the continuum of care. Guides patients, families, physicians, and to the appropriate community and adjunct resources that foster quality of life. Interviews patients and families/support systems to obtain an age-specific psychosocial assessment. Assists patients and families in adjustments to illness, disabilities, and resolving difficulties which interfere with the care management process. Provides psychosocial assessments and develops an interdisciplinary plan of care with the patient and stakeholders to best meet the needs of patients and families. Implements/assist with discharge planning services related to the complex patient.

Responsibilities Develops plan of care in collaboration with the RN case manager, physician, and patient to secure the best discharge plan available to the patient.

Assessment and planning for the social requirements of patient and family of patient in long term care planning.

Maintains liaison with agency sources such as "Make A Wish"/"Ronald McDonald House".

Attends and actively participates in interdisciplinary patient care rounds on a weekly basis and works with the health care team to collaboratively formulate appropriate and realistic discharge plans.

Assesses and continually reassesses the psychosocial/concrete needs of family members /support systems that may interfere with optimizing the patient’s care management (Medicaid, housing, food stamps, etc).

Demonstrates awareness of the importance of addressing patient’s quality of life by maintaining current and up to date information of community resources and refers patients to those community resources which will enhance patient’s life to include initiating Medicaid transportation documents and meal ticket distribution when necessary. Initiates referrals to pharmaceutical companies to assist patient and families with high-cost medications.

Provides resource/referral for counseling services and other recognized psychosocial therapies, child abuse referrals, adult protective service referrals, guardianship petitions and psychiatric petitions. Demonstrates competence to perform assigned patient care responsibilities in a manner that meets the age-specific and developmental needs of the patients served by the department.

Provides referral to Spiritual Care and can assist in crisis intervention to patients and their family members involved in emergency trauma, deaths, loss of home, family violence, etc.

Assess high-risk patients who exhibit behaviors that are maladaptive to the adjustment of the illness and /or disability.

Conducts staff training/mentoring related to social work techniques.

Utilizes evidence-based tools (Meditech, Midas, 3M) to analyze and identify trends/patterns of performance through variance reporting to improve quality, satisfaction, and decrease cost variation.

Demonstrates adherence to the CORE values of Santa Rosa Health Care.

Education Master of Social Work degree from an accredited college or university is required

Ability to adapt quickly in an ever changing environment of care

Word processing/Excel skills

Ability to prioritize work and manage multiple projects simultaneously

Experience Two (2) years acute patient care is preferred.

Must have a good knowledge of the principles and practices of social work. Licenses, Registrations, or Certifications Must possess a valid LMSW to practice social work in the state of Texas

Work Schedule MULTIPLE SHIFTS AVAILABLE

Work Type Full Time

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