Social Worker - Case Manager - Rappahannock General Hospital - PRN

With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.

Are you passionate about improving the patient's experience through high quality, convenient, and connected care delivery?

Welcome to Rappahannock General Hospital, the way it should be.

At Bon Secours, we understand the many complexities of life and healthcare, which is why our team strives to create a better, easier experience for our patients who are transitioning out of inpatient hospital care.

We are seeking highly motivated and skilled professionals who share a passion for excellence in case management.

Teamwork: Rappahannock Case Managers believe in working together for the benefit of their patients.

Patient Centered Care: Each case manager strives to honor the patient centered care provided during the patient's hospital stay by focusing on successful transitions from the hospital.

Leadership: Supportive leadership at the executive level fosters an environment of growth and mentorship for new and upcoming leaders.

The Social Worker Case 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. Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
• Documentation will reflect 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.
• Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity through 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 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) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)

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

None

Hard/Tech/Clinical

Skills:

• 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.

Soft/Interpersonal

Skills:

• Attention to detail
• Critical thinking
• Communication with family members
• Conflict resolution
• Active listening
• Relationship…