- Full Time
Social Worker, Case Management LGSW MedStar Southern Maryland Hospital Center, located in Clinton, Maryland, is an award winning, acute care hospital focused on caring for patients and their loved ones utilizing advanced technology under the guidance of expert clinicians. Quality, Safety, Wellness, and Patient Satisfaction are achieved through a spirit of patient centered services that connect us to the community we serve. If you believe in patient focused care, excellence, teamwork, and are committed to meeting the needs of our patients and customers, we invite you to join our team! MedStar Southern Maryland Hospital Center is actively recruiting for a fulltime LGSW to join our dedicated team! Primary Duties and Responsibilities: Interview/counsel patients, families, significant others for the purpose of assessing psychosocial functioning and discharge planning needs specific to that patient. Develop and implement Social Work/Discharge Planning treatment plans to assure timely provision of services based on age and diagnosis of patients served and associate area of specialization. Participate in developing and implementing effective, efficient case finding in collaboration with other members of the health care team in order to assure access to social work services. Develop and coordinate plans with patients and families in conjunction with medical and other hospital staff or referral and/or transfer to other appropriate levels of and/or community agencies to ensure appropriate use of hospital resources. Serve as a patient advocate in assuring a collaborative approach to patient care management. Develop and maintain effective working relationships with colleagues, medical staff, other hospital staff and a variety of community health and welfare agencies/facilities. Maintain up to date clinical documentation on patient medical records according to departmental policies and standards. Make appropriate referrals to Pastoral Care. Make appropriate referrals to community action groups, support groups etcetera. Complies with the state law for reporting abuse/neglect for children and adults. Maintain confidentiality in accordance with hospital policy. Perform utilization review, regardless of payor source, in accordance with the Utilization Management Plan and State of Maryland Regulations: Perform and document admission and continued stay review, using nationally accepted InterQual guidelines to establish medical necessity of hospital stay. Readily distinguishes between acute, intermediate and skilled levels of care. Contact health insurance companies at specified intervals to assure reimbursement for continued stay. Refer concurrent/admission utilization problems/issues to the Physician Advisor or Medical Director. Advise the physician of appropriate commercial insurer requirements, such as Medical Assistance second opinion requirement. Perform clinical review, upon request of Patient Accounts, for appeals and Medicaid Administrative Days. Maintain up to date, clinical records according to departmental policies and professional standards; prepares monthly statistical reports. Participate in staff meetings and continuing education programs to enhance personal growth. Participate as a member of the hospital Ethics Committee. Maintain all social service policies and procedures in accordance with current professional standards. Is available on call on a rotating basis on weekends and holidays with other staff to provide telephone consultation, resource information and referrals for home health/medical equipment. Maintain above average skills in the use of good judgment, setting priorities, coping with a large volume of work and working independently. Performs crisis management to patients, families, and guests. Arrange DME, ambulance service, home care, and respiratory care as medically indicated. Assists and empowers clients to participate in their treatment plan; engages client in therapeutic relationship; educates client regarding mental health services and their benefits; assists members to use services appropriately; makes appropriate recommendations and referrals for patients to obtain information, support, services and assistance they may need from MedStar Southern Maryland Hospital or community resources. Recommends patients for inpatient or outpatient mental health care and refers to appropriate setting. Accept other related duties as assigned by the director. Qualifications: A minimum of 3 to 5 years experience, acute care preferably. Internship experience will be considered. A minimum of two years in a hospital setting with Discharge Planning/Utilization Review experience is preferred. Masters Social Worker Degree Licensed Graduate Social Worker MD / Licensed Clinical Social Worker - MD Current CPR About MedStar HealthMedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, DC, region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.