Promotes mission, vision and values of Exempla Healthcare.
Actively fulfills Best in the Nation goals.
Assesses for appropriateness of level of care setting from admission through discharge.
Identifies patients requiring case management and takes the lead as case manager for those requiring intervention, especially with socially complex cases.
Interviews patients and families to assess current functional status and support system.
Collaborates with the health care team to develop a plan of care by participating in patient care rounds.
Assures the discharge plan is in alignment with providing choice, assuring safety, and is timely and cost effective.
Assures the plan of care is individualized for patient's with a chronic disease to support patient/family self management following discharge .
Facilitates the safe transfer of patients to alternate level of care settings, assuring appropriate exchange of information among all caregivers.
Assists with scheduling discharges, pre planning discharges and identifying discharge goals during patient care rounds to assist with patient flow on the units.
Assists in monitoring appropriate hospitalization and continued stays, utilizing nursing partner and department resources as needed.
Provides education to other departments/floors regarding case management services and support, discharge planning and plan of care.
Serves as a support to nursing partners in the area of social services, Medicaid applications, disability eligibility, ETOH resources and homeless resources.
Uses SW knowledge and skills to assure the health care team understands and supports patient self-determination when appropriate.
Attends and participates in department meetings and participates in multidisciplinary groups as necessary and/or requested.
The attached Job Description details the essential functions of your position. The list below is also considered to be essential functions of your position and all employees within Exempla Healthcare are expected to meet the following in their day-to-day work:
Be available to work as scheduled and report to work on time
Be available to work overtime if needed
Be willing to accept supervision and work well with others
Be respectful of all with whom you interact and follow the Exempla Service Behaviors
Be well groomed and dressed appropriately for your role
Be in compliance with the drug and alcohol policy as stated in the Employee Handbook
Be sufficiently rested to perform your duties throughout the period assigned
Demonstrate a willingness to learn
Be able to communicate clearly, think clearly, and concentrate on assigned tasks
Graduate of an accredited school of social work, Sociology or related field.
Minimum of three years clinical nursing experience
BSW or MSW or related experience
Knowledge and experience with managed care
One (1) year of case management experience, preferred
MSW with Medical /Acute Care experience, preferred
We reveal and foster God's healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.
Inspired by our faith,
•We will be distinguished as the premier person-centered health system and trusted partner.
•We will share accountability with clinicians and other stakeholders to coordinate care across all settin...gs and improve access, quality, health outcomes, and affordability.
•We will grow as community-based health networks to serve more people in partnerships with others who share our vision and values.
Caring Spirit - We honor the sacred dignity of each person.
Excellence - We set and surpass high standards.
Good Humor - We create joyful and welcoming environments.
Integrity - We do the right thing with openness and pride.
Safety - We deliver care that seeks to eliminate all harm for patients and associates.
Stewardship - We are accountable for the resources entrusted to us.