Inova

Nonprofit health system operating hospitals

Social Worker Case Manager - Adult Congenital Heart Disease

Case Management & AdvocacyConfirmed live in the last 24 hours

Full-timeFairfax, VA, USA$73.8k - $120.3k /yrIn-person

About the Job

Requirements

A Master's Degree in Social Work (MSW) is required.
At least 1 year of experience in clinical care or clinical case management is required.
Basic Life Support certification is required upon starting.

Responsibilities

Participate in assessing patients' biopsychosocial needs by reviewing patient information and engaging with patients, families, and interdisciplinary care team members.
Communicate routinely with patients, families, interdisciplinary care team members, and other appropriate parties about care-plan status, progress toward treatment goals, concerns or problems, problem-solving, and conflict resolution when needed.
Ensure available options supporting successful transitions and critical care-plan elements are communicated to patients, families, and the healthcare team and documented as needed for continuity of care.
Refer cases and issues appropriately to resolve barriers to care progression, and advocate for patients in resolving those barriers.
Assess patients' and families' psychosocial risk factors based on preliminary risk screenings, including prior functional levels, adequacy of support systems, reactions to illness, and coping ability.
Intervene with patients and families regarding the emotional, social, and financial consequences of illness or disability.
Provide counseling and interventions related to treatment and end-of-life decisions, and support patient and family empowerment and independence in making autonomous healthcare decisions and accessing needed services.
Provide discharge planning and continuity of care for assigned patients in acute and post-acute settings.
Initiate and facilitate referrals to clinics, home healthcare, hospice, skilled nursing facilities, acute rehabilitation, long-term acute care, transitional care management, medical equipment, and supplies as indicated.
Collaborate with the interdisciplinary care team, patients, and families to assess and coordinate discharge planning, deliver post-discharge services, transition patients from hospital to discharge settings, and support ongoing community care.
Document relevant discharge-planning information in the medical record according to department standards and/or care management plans.
Collaborate and communicate with internal and external case managers.
Coordinate services and act as a key liaison between patients, families, and interdisciplinary healthcare members.
Perform other duties as assigned.

Join our growing team at Inova! We are seeking a compassionate and dedicated Social Worker Case Manager to support our Adult Congenital Heart Disease program at Willow Oaks. This is full time, Monday - Friday opportunity.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave

The Social Worker Case Manager 1 evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and payer issues. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.

Social Worker Case Manager 1 Job Responsibilities:

Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.
Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Refers cases and issues appropriately to resolve barriers to care progression. Acts as an advocate for patients to resolve barriers to care progression.
On the basis of preliminary risk screenings, assesses the psychosocial risk factors of patients/families through the evaluation of prior functional levels, appropriateness/adequacy of support systems, reactions to illnesses and the ability to cope.
Intervenes with patients/families regarding emotional, social and financial consequences of illness and/or disability.
Serves as a resource person and provides counseling and interventions related to treatment and end of life decisions. Advocates for patient/family empowerment and independence to make autonomous healthcare decisions and access needed healthcare services.
Provides discharge planning and continuity of care for assigned patients in the acute and post-acute settings.
Initiates and facilitates referrals to clinics, home healthcare, hospice, SNF, acute rehab, LTAC, TCM, medical equipment and supplies as indicated.
Collaborates with the interdisciplinary care team, patients and families in the assessment/coordination of discharge planning needs, delivery of post-discharge planning needs, delivery of post-discharge services and transition of patients from the hospital to the discharge setting as well as ongoing care in the community.
Documents relevant discharge planning information in the medical record according to department standards and/or care management plans. Collaborates/communicates with internal/external Case Managers.
Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.
Performs other duties as assigned.

Minimum Requirements:

Certification: Basic Life Support - Upon Start
Experience: 1 year experience in clinical care or clinical case management
Education: Master's Degree Social Work (MSW)

Salary Range: $73778.00 - $120266.00

Pay Rate Frequency: ANNUAL

About the Company

Inova

Nonprofit health system operating hospitals

Inova Health System is a nonprofit healthcare network based in Falls Church, Virginia, providing a broad range of medical services across hospitals, outpatient clinics, assisted living, and long-term care facilities in Northern Virginia and the Washington, D.C. metro area. Its hospitals have Magnet status, indicating high nursing quality, and the system emphasizes care delivery as well as medical research and education through clinicians and scientists. The organization’s operations rely on reinvesting earnings into its mission rather than distributing profits to shareholders, with the Inova Health Foundation supporting fundraising and philanthropy to expand services, research, and training. Overall, Inova aims to improve community health by delivering patient care, advancing medical knowledge, and educating the next generation of healthcare professionals.

Company size: Not listed
Company stage: Not listed
Total funding: $422.8M
Headquarters: Falls Church, VA
Founded: 1956

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