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Rochester Regional Health

Integrated system of hospitals, clinics, labs

Licensed Master Social Worker

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeRochester, NY, USA$30.50 - $40In-person

About the Job

Requirements

  • One to three years of social work experience in a health or home care setting.
  • Experience with end-stage renal disease (dialysis).
  • A Master’s degree in Social Work is required.
  • A New York State license in Social Work is required.
  • An official transcript from an accredited school or a letter sent directly from the school registrar confirming program completion may be accepted upon graduation.
  • Primary-source education verification is required within 90 days of the start date.

Responsibilities

  • Determine patient and family needs related to social supports, financial support or counseling, housing appropriateness, transportation, and psychological supports; coordinate multidisciplinary and agency case conferences; work with care managers to advocate for patient/family approval for insurance coverage; and coordinate admission for patients in need of dialysis.
  • Intervene in crises and address patient and family needs related to illness, disability, or deterioration of independence.
  • Manage referrals for patients at risk, determine appropriate intervention strategies, document interventions, and ensure inappropriate referrals are channeled correctly and documented.
  • Coordinate assessments and develop care plans in accordance with accepted social work policy; implement intervention plans in preparation for discharge or initiate continued care plans.
  • Determine patient needs through chart review, patient and family interviews, team conferences, and interdisciplinary rounds; assess patients and determine the mode of intervention based on the assigned group's age-specific dynamics.
  • Interview patients and/or families and record psychosocial assessments in accordance with social work documentation policy.
  • Evaluate patients for the appropriate level of care when indicated and coordinate multidisciplinary and agency case conferences as needed.
  • Implement plans for discharge or continued care in compliance with departmental and governmental regulations.
  • Work with care managers as an intermediary with health-care insurance providers, including HMOs, private insurance, and Medicare, to advocate for patient/family coverage approval; involve patients and families in treatment planning and complete appropriate forms.
  • Arrange patient transportation in accordance with organizational procedures.
  • Act as a liaison with the community and as a referral source.
  • Execute discharge or continued-care plans mutually agreed upon with the patient/family; notify involved parties within 24 hours of receiving discharge authorization and request needed paperwork from nursing, physicians, and other disciplines.
  • Review census tracking boards or documentation to identify high-risk patients who have not been referred.
  • Perform other duties as assigned.

About the Company

Rochester Regional Health

Integrated system of hospitals, clinics, labs

Rochester Regional Health is a regional health system that provides integrated medical care across Western New York and beyond, with 500+ locations, including 8 hospitals, clinics, rehabilitation centers, senior services, behavioral health, and clinical trials. Patients access care through its network of hospitals, clinics, rehab centers and labs, with care coordinated across locations and teams handling prevention, diagnosis, treatment, rehabilitation and ongoing support. The organization stands apart by offering a wide range of services under one umbrella, enabling continuous, coordinated care within a single system, with a focus on neighbor-driven, community-based, real-life care. Its goal is to help the community stay healthy and live fulfilling lives by delivering accessible, comprehensive, patient-centered health care for people at every age and stage.

Company size
10,001+
Company stage
Grant
Total funding
$600K
Headquarters
Rochester, NY
Founded
Not listed

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