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Job Summary

​Interacts with patients, family members, healthcare professionals, and community and state agencies. The Social Worker serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. Identifies high risk patients from a psychosocial/financial perspective, assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources. Works collaboratively with the interdisciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum. Resolves psychosocial patient care issues and develops and implements a complex patient transition/discharge plan.

Job Duties

• Participates in the screening of participants and evaluates psychosocial surveys to ensure appropriate and successful group participation.

• Provides support in developing the skills necessary for integrating lifestyle changes into daily life.

• Participates in the interdisciplinary team development of a plan of care for each participant.

• Participates in the monitoring, documentation, and communication of the participant's response to the interdisciplinary team plan of care.

• Monitors group support adherence for all participants and provides additional explanation of guidelines on an individual basis as needed.

• Assesses, plans and initiates patient plan of care.

• Facilitates and coordinates details of placement and actual discharge to appropriate agencies.

• Initiates and monitors completeness, accuracy and timeliness of all documentation.

• Provides documentation of initial assessments and reviewing of all referrals for accuracy and content prior to discharge.

• Reports potential risk or quality management.

• Escalates issues to resource as necessary to resolve barriers through appropriate administrative and medical channels.

• Assists with department-based education

• Assists with review of department-based competencies

• Provides small group in services or informal displays to the department

• Participates in department competency renewal annually

• Participates in department committees, quality improvement initiatives, and special projects

• Regularly review new-hire progress and serve as a mentor for staff.

• Provides informal leadership to team for clinical questions and evaluations.

  Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Position Details

This is a Grant Funded position, if in the future the grant funding is no longer available , this role may be eliminated.

Requirements

• Masters Degree: Social Work and 3 yrs related experience. ​

• Accredited Case Manager - American Case Management Association (ACMA) - Preferred

No Weekends, On Call, or Major Holidays

We’re proud to offer competitive salaries and a comprehensive benefits package that include s:

• Medical, prescription drug, vision and dental coverage

• Family Support (Fertility and Adoption Support)

• Employer contribution to your retirement plan

• Tuition assistance (part time and full time roles only)

• Generous paid time off packages that allows you to take the time you need to travel, rest, and care for and reconnect with friends and family.

• Professional opportunities for growth and advancement

• Support and mentorship from a full range of dedicated and experienced nursing leaders

• Paid Military Leave

• Community Involvement through our Employee Resources Groups

Education

Master's Degree-Social Work (Required)

Experience

Minimum of 3 years-Related work experience (Required)

Certification(s) and License(s)

Accredited Case Manager - American Case Management Association (ACMA)

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.