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PHO Case Manager Social Worker

Cape Cod Healthcare


Location:
Hyannis, MA
Date:
08/17/2017
2017-08-172017-09-16
Categories:
  • Healthcare
Cape Cod Healthcare
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Job Details

Cape Cod Healthcare

Department: HCI Phys Health Org - PHO
Schedule: Full-time 40 Hours per week
Shift: Day Shift
Hours: 8a-5p Monday-Friday
Job Details:

Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod.  With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's leading provider of homecare and hospice services (VNA), a skilled nursing and rehabilitation facility (JML Care Center), an assisted living facility (Heritage at Falmouth), the Cape's only local laboratory service (CCHC Laboratory Services) and numerous health programs.  We are currently seeking a dedicated PHO Case Manager Social Worker to join our team at Cape Cod Hospital. 

 

Cape Cod Healthcare offers competitive salaries, excellent benefits packages, tuition reimbursement, and generous paid time off.

PURPOSE OF POSITION

Plans, organizes and implements social work services to patients and families including plans for discharge and aftercare.  Maintains contact with referring agencies and related people, and with community resources used for referral.

MAJOR ACCOUNTABILITIES

1.     Patient enrollment into case management: assists case managers and clinical pharmacist(s) in enrolling identified patients for case management, including conducting patient outreach, patient enrollment, patient follow-up and referral to non-behavioral health case managers as appropriate. Enrolls behavioral health patients into behavioral health case management, including enrolling identified patients for case management, including conducting patient outreach, patient enrollment and patient follow-up until discharge.

2.     Assists patients and families to adjust to illness and lifestyle changes related to illness and hospitalization.

§  Remains available to patients, family and staff through an open referral system.

§  Interviews patient and family members to obtain information about home environment, family relationships, health history, and patient's personality traits.

§  Assists patients and families to understand, accept, and follow medical recommendations.

 

3.     Assists patients and families to adjust to illness and lifestyle changes related to illness and hospitalization.

§  Remains available to patients, family and staff through an open referral system.

§  Interviews patient and family members to obtain information about home environment, family relationships, health history, and patient's personality traits.

§  Assists patients and families to understand, accept, and follow medical recommendations.

 

4.     Assists in patient care planning to ensure continuation of treatment in an atmosphere conducive to preservation of health.

§  Evaluates the ongoing medical and psychosocial needs for care planning in order to set up appropriate community services.

§  Evaluates data gathered in terms of the medical plan of treatment, available social service programs and plans a pertinent psychosocial treatment program that will provide maximum benefit for each patient.

§  Assists patient/family in the procurement of essential equipment to allow optimum and safe function at home.

§  Assists patient/family in the decision making process leading to the selection of and placement in an appropriate long term and short term facility.

    

5.     Provides information and referral for continuing care and crisis intervention.

§  Brings voluntary community bases services into play as appropriate to patient and family needs.

§  Utilizes resources to assist patient to resume life in the community or to learn to live with disability.

§  Functions as a liaison on behalf of patients with appropriate community agencies.

§  Evaluates the appropriateness of community services as possible and develops plans to meet patient needs.

§  Maintains excellent relationships with community agencies.

    

6.     Works cooperatively with co-workers and communicates effectively with departmental staff; other departmental personnel and health care facilities;  physicians, patients and visitors. 

 

§  Acts in accordance with professional ethics and within departmental policy and procedure.

§  Functions within the professional Social Work Code of Ethics. 

§  Is available to all clinical areas for social work services as needed and assigned. 

§  Prepares and updates records for each patient, documenting as per policy.

§  Maintains monthly statistical data.

§  Observes all safety, infection and environmental control procedures. 

§  Functions in such a way as to meet departmental quality assurance program.

§  Assists in care and maintenance of department equipment and supplies. 

§  Attends and actively participates in meetings and serves on committees as requested.

 

  5.  Performs other work related duties as requested/directed. 

 

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Healthcare's commitment to CARES: compassion, accountability, respect, excellence and service.

 

EDUCATION/EXPERIENCE/TRAINING

§  MSW or related discipline and state licensure in related mental health field

§  CPI (Crisis Prevention) within 4 months of new position and must renew annually.

§  Familiarity with community resources and ability to access same.

  • Knowledge and experience in use of the DSM V with regard to psychiatric diagnoses.

§  Ability to maintain effective working relationships with patients, medical staff and the public.

§  Ability to communicate clearly and effectively in person, in writing, or by phone.

§  Skill in appropriate assessment, examination, treatment techniques.

§  Skill in QM, medication, infection control, safety and confidentiality policies by effectively role modeling appropriate behavior.

§  Skill in leadership and mentoring.

 

 

HR Use Only:


Zip Code: 02601
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