Complex Clinical Care Coordinator LMSW Complex C3

$63,971 - $95,957/Yr

Bassett Healthcare - Cooperstown, NY

Full-time - Entry Level

Cooperstown, NY

Ambulatory Health Care Services

About the position

Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

Responsibilities

• Provides case management services as appropriate throughout the life span and in various settings.
• Actively manages LOS for unit's patients through partnership and collaboration with all members of the healthcare team.
• Receives referrals from Unit C3 for support with psychosocial issues.
• Completes comprehensive psychosocial assessments collaborating with Unit CCM and care team for management and interventions (substance abuse, guardianship, domestic violence, homeless, etc.).
• Assesses patients' functional status, cognitive ability, support systems, available resources, and barriers to care to identify post-acute care needs.
• Coordinates patient family conferences, assists with management/support of patient/family issues.
• Helps family members and patients that are in need of further conversation regarding advance directive.
• Communicates discharge plan to patient and family as needed.
• Collaborates with other health care team members providing patient-centered care.
• Keeps Unit CCM informed of status, interventions, and plans to progress patient care to discharge.
• Works collaboratively with care team to coordinate patient discharge for complex cases as defined by facility criteria.
• Attends SNAP huddles to report progress with discharge plan and/or collaborates with Unit C3 before SNAP rounds.
• Provides community resource information as requested and facilitates or completes referrals as directed.
• Responsibly apportions resources.
• Assists with excessively long length of stay patients when discharge options have been exhausted.
• Coordinates Medication Assistance as requested.
• Performs similar or related duties as requested or directed.

Requirements

• Master's Degree in Social Work, required
• Minimum one year experience in social work, preferred
• Minimum one year experience in an acute care setting, preferred
• NYS Licensure as a LMSW, LCSW or LCSW-R must be obtained within 6 months of hire date, required
• Case Management Certificate, preferred
• Skills: Analysis & Evaluation, Attention to Detail, Communication, Computer Skills, Conflict Resolution

Benefits

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match
• And more!