Clinical Social Worker Case Management FT Afternoons
Company: DMC Children's Hospital of Michigan
Location: Detroit
Posted on: March 28, 2025
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Job Description:
Children's Hospital of Michigan is an international leader in
pediatric and adolescent medicine. Surgical services include
general, thoracic, reconstructive and cardiovascular. Imaging
technology designed specifically for children provides advanced
diagnostic services including Positron Emission Tomography (PET)
and MRI. The Children's Hospital of Michigan Emergency Department
is a verified Level 1 Pediatric Trauma Center and dedicated
pediatric burn center. Experts in pediatric critical care,
rehabilitation, and neonatal and perinatal medicine provide care
for thousands of children every year at Children's Hospital of
Michigan, Children's Hospital of Michigan - Troy and six ambulatory
sites.
Summary Description
The Social Worker is responsible to facilitate care along a
continuum through effective resource coordination to help patients
achieve optimal health, access to care and appropriate utilization
of resources, balanced with the patient's resources and right to
self-determination. The individual in this position has overall
responsibility for to assess the patient for transition needs
including identifying and assessing patients at risk for
readmission. Conducts complex psycho-social assessment and
intervention to promote timely throughput, safe discharge and
prevent avoidable readmissions. This position integrates national
standards for case management scope of services including:
This individual's responsibility will include the following
activities: a) complex psycho-social transition planning assessment
and reassessment and intervention, b) assistance with adoptions,
abuse and neglect cases, including assessment, intervention and
referral as appropriate to local, state and /or federal agencies,
c) care coordination, d) implementation or oversight of
implementation of the transition plan, e) leading and/or
facilitating multi-disciplinary patient care conferences including
Complex Case Review, f) making appropriate referrals to other
departments, g ) communicating with patients and families about the
plan of care, h) collaborating with physicians, office staff and
ancillary departments, i) assuring patient education is completed
to support post-acute needs , j) timely complete and concise
documentation in Case Management system, k ) maintenance of
accurate patient demographic and insurance information, l) and
other duties as assigned.
POSITION SPECIFIC RESPONSIBILITIES:
Transition Management
- Completes comprehensive assessment within 24 hours of patient
admission to identify and document the anticipated transition plan
for patients
- Integrates key elements of patient assessment, patient choice and
available resources to develop and implement a successful
transition plan
- Completes Complex/Psycho-social assessment and plan for patients
identified as high risk for readmission.
- Provides psycho-social assessment and intervention for patients
identified with identified needs including behavioral health, lack
of support systems, financial barriers, end of life, and/or
medication adherence.
- May delegate the implementation of the transition plan to LVN/LPN
or Assistant staff. And follows up to ensure the transition plan is
completed timely and accurately
- Ensures all elements of the transition plan are implemented and
communicated to the healthcare team, patient/family and post-acute
providers
- Provides information to patients to make informed choices when
community services per Tenet policy
- Completes Final Discharge Disposition Form Assessment for
Medicare patients per Tenet policy
- Completes timely, complete and accurate documentation in the
Tenet Case Management system to communicating information to the
care team and provide documents needed in the patient record(40%
daily, essential)
Care Coordination
- Screens patients for factors that may affect the progression of
care and intervenes as needed to promote timely and appropriate
throughput
- Conducts assessments and stratifies patients at risk for
readmission or in need of Case Management services
- Assists with adoption/abuse/neglect cases and reporting of
appropriate cases to local, state and/or federal agencies
- Ensures the plan of care is consistent with patient choice and
available resources
- Ensures patient needs are communicated and that the healthcare
team is mutually accountable to achieve the patient plan of
care
-Effectively collaborates with physicians, nurses, ancillary staff,
payors, patients and families to achieve optimal outcomes(40%
daily, essential).
Education
- Ensures and provides education to patients, physicians and the
healthcare team relevant to the safe and timely patient
transition
- Provides patient and healthcare team education regarding
resources and benefits available to the patient along with the
economic impact of care options
- Ensures that education has been provided to the
patient/family/caregiver by the healthcare team prior to
discharge
(10% daily, essential).
Compliance
- Ensures compliance with federal, state, and local regulations and
accreditation requirements impacting case management scope of
services
- Adheres to department structure and staffing, policies and
procedures to comply with the CMS Conditions of Participation and
Tenet policies
- Operates within the Social Work scope of practice as defined by
state licensing regulations(10% daily, essential)
Qualifications:
Minimum Qualifications
1. Master's degree in Social Work from a college or university
social work program approved by the Michigan Board of Social Work
and accredited by the Council on Social Work Education.
2. Current license as a Licensed Master's Social Worker in the
State of Michigan, or current limited license to engage in the
practice of social work at the Master's level in the State of
Michigan, with full licensure within 3 years from date of hire
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3. Two years of acute hospital experience preferred.
4. Must complete and demonstrate competency in using the Tenet Case
Management documentation system within 30 days of hire.
5. Attendance at hospital and department orientation is required.
Department orientation includes review and instruction regarding
Tenet Case Management and Compliance policies, Transition
Management, and other topics specific to case management.
6. Accredited Case Manager (ACM) preferred.
Skills Required
1. Analytical ability, critical thinking and problem solving skills
to identify opportunities for improvement and problem
resolution.
2. Interpersonal skills necessary to work productively with
patients, families and all levels of hospital personnel.
3. Verbal and written communication skills to communicate
effectively with diverse populations including physicians,
employees, patients and their families.
4. Ability to cope with stressful situations or encounters, manage
multiple and sometimes conflicting priorities, and to work
regularly with difficult medical/emotional/psycho-social
problems.
5. Teaching abilities to conduct educational programs for staff,
patients, families and community.
6. Organizational skills and the ability to lead and coordinate
activities of a diverse group of people in a fast paced
environment.
7. Comprehensive knowledge base and physical ability to
systematically assess patients and families to identify
psychosocial health status and needs.
Computer literacy to utilize case management systems.
Job:
Case Management/Home Health
Primary Location:
Detroit, Michigan
Facility:
DMC Children's Hospital of Michigan
Job Type:
Full Time
Shift Type:
Evening
Shift Begin:
3:00 PM
Shift End:
11:00 PM
2406003111Employment practices will not be influenced or affected
by an applicant's or employee's race, color, religion, sex
(including pregnancy), national origin, age, disability, genetic
information, sexual orientation, gender identity or expression,
veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with
disabilities unless doing so would result in an undue
hardship.
Keywords: DMC Children's Hospital of Michigan, Detroit , Clinical Social Worker Case Management FT Afternoons, Executive , Detroit, Michigan
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