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Patient Care Coordinator, SW (Social Worker)

Company: American Health Network
Location: Columbus
Posted on: November 10, 2018

Job Description:

Located in Ashland, Franklin, Knox, and Richland County Ohio Description: American Health Network is seeking an individual that possesses the knowledge and understanding of human development and behavior; of social, economic, and cultural influences; and of the interactions of all these factor as they relate to a patient's wellness, illness, and ability to achieve lifestyle and behavioral modifications, self-management and coping during times of change. This individual will assist patients and families in the development of problem-solving, coping and resource identification skills along the continuum of care with the goal of enhancing, restoring, or stabilizing their capacity for social functioning and optimum wellness. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

  • Stabilizes the patient/family/significant other during treatment
  • Assist patient/family/caregiver in overcoming social, emotional and environmental barriers with the goal of achieving optimum functioning
  • Facilitates problem-solving with the patient/family to mobilize patient resources
  • Provides guidance/education/interventions (individual, family, and group) to facilitate adaptation to illness, hospitalization and discharge
  • Engages patient and family (caregiver) during times of crisis and assists with identification of crisis management services
  • Participates in the development of individualized patient care plans
  • Promotes self-management and proactive decision making (such as educating patient?s about Advanced Directives)
  • Coordinates interdisciplinary team/patient/family conferences in which the patient's status, identified issues, goals, and appropriate interventions may be discussed
  • Advocates for patient/family in assisting the health care team in understanding patient?s rights including cultural and linguistic preferences
  • Documents psychosocial assessment within 2 business day of referral/high risk screening and initiates care plan within 5 business days with subsequent updates/progress when there is significant change in condition
  • Works cohesively with the healthcare team in all aspects of care management such as discharge planning to link patients with the most appropriate resources
  • Collaborates with the healthcare team to measure and improve quality and effectiveness of care and processes
  • Attends scheduled care conferences
  • Identifies opportunities for process improvement in all aspects of patient care
  • Responsible for assisting the healthcare team in achieving the CMS required quality metrics
  • Same day travel (up to 50%) working in various environments (physician?s offices, patient?s homes, etc) Requirements:
    • Bachelor?s Degree in Social Work (Masters preferred)
    • Current Ohio License (LSW or LCSW)
    • 1-3 years of community based experience; experience in working with a geriatric population is preferred; knowledge of Medicare regulations is preferred
    • Knowledge of Ohio laws and regulations

      Keywords: American Health Network, Columbus , Patient Care Coordinator, SW (Social Worker), Healthcare , Columbus, Ohio

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