The Social Worker ensures patients receive the highest level of care possible by coordinating and managing the Valley Health Care patient population by utilizing social work and/or nursing skills, as well as working well with community resources.
The Social Worker will apply social work theory, knowledge, and ethics including assessments, planning, intervention, evaluation, and case management.
This position requires strong social skills like communication and empathy, as well as a deep understanding of the healthcare and social welfare systems.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The Social Worker provides general social care to patients by performing the following duties:
Linking patients with community resources:
Research, identify, and link resources, and services to support patients;
Initiate family contacts and develop ongoing processes for families to determine the level of patient navigation each patient requires;
Assess patients and/or family needs which are unmet, and coordinate to ensure these basic needs are met, if possible;
Assist with and promote the identification of those with special health care needs;
Communicate effectively to decrease patient worry and frustration, and enhance self-management skills;
Promote timely access to appropriate care;
Assistance with basic needs;
Specific referrals, if necessary (examples: hospice, palliative care)
Assist with programs developed to facilitate cohesive relationships;
Main point of contact with patients;
Provides quality Chronic Care Management Services and Transitional Care Management Services to selected populations based on risk/need:
Utilizes technological tools to manage population;
Informs the patient and family regarding coordination of their care, and shares information with the patient’s care team;
Assess patient compliance with plan of care;
Ensures care gaps are closed around specialty disease/chronic disease;
Communicates with patients as appropriate;
Helps patients understand their illness or condition and provide them with information about resources available to them to cope with the emotional, financial, and social needs that arise with a diagnosis;
Assesses the unique needs and situation of each patient.
This means assessing the overall well-being of patients to understand what they require and how the social worker can support them.
Creates care plans;
Advocates for patients;
Educating and supporting patients.
Act as a go-between for medical staff and patients and translate potentially complex or confusing medical information to ensure patients understand what is happening at all stages;
Builds a professional and cohesive relationship in order to make any necessary changes.
Other duties as assigned.
REQUIREMENTS
Able to communicate with providers, co-workers, and others collaboratively and courteously.
Good organizational and interpersonal skills.
Strong attention to detail.
Must be self-motivated and able to perform tasks independently.
Knowledgeable in medical terminology, source documentation, informed consent, and electronic medical record systems to communicate effectively with physicians and staff.
Expert computer skills and familiarity with Microsoft programs and applications.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Skilled at identifying and verifying appropriate clinical source documentation for data reporting.
Skilled at effective data collection and creating effective customized data sets.
Capable of working independently and productively with minimal supervision.
Able to follow instructions closely.
EDUCATION & EXPERIENCE
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.
Licensed Social Worker in West Virginia is required.
This includes a licensed social worker with a baccalaureate degree or master’s degree in social work from a program accredited by the council on social work education and two years of experience.
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