Social Worker - Care Manager - Rappahannock General Hospital - PRN

Social Worker Care Manager – Rappahannock General Hospital – PRN

Job Summary: The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. They also provide clinical supervision to peers, Social Workers, and students.

• Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation in the patient record in a clear, concise, and timely manner.
• Documentation reflects plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning. Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Follows standardized practices and processes related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity by addressing/removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.

• Bachelor of Social Work (required)
• Master’s degree in social work or a healthcare related field (preferred)

• BLS Basic Life Support – American Heart Association (required)
• Licensed as a Social Worker in state of practice (required, preferred in VA)
• Accredited Case Manager Certification (ACM) or Certified Case Manager (CCM) (preferred)

• 1 year of experience in a clinical setting (required)
• 3 years of experience in an acute care clinical setting (preferred)
• Ambulatory or post-acute care coordination experience (preferred)

• Social Work
• Care Management
• Ethics, End of Life Ethics
• Patient Advocacy
• Clinical Supervision
• Microsoft Office
• Ability to prioritize many simultaneous demands and tolerate frequent interruptions.
• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Active listening
• Relationship building
• Effective problem solving
• Teamwork
• Open to change
• Collaboration
• Displays empathy
• Negotiation skills
• Time management
• Prioritization

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact the Talent Acquisition Team at