Social Work Case Manager - Inpatient - AGH

Job description

Company: Allegheny Health Network Job Description: $10,000 sign on bonus available GENERAL OVERVIEW: This job collaborates with the interdisciplinary team of providers, clinicians, health plans, and external partners while advocating for patients and families/caregivers to coordinate care across the continuum. The incumbent is an integral member of the Care Management team that works to improve the quality of care, patient experience, and the health of populations and individuals by focusing on the social determinants of health impacting wellness. QUALIFICATIONS: Minimum - Contributes to and/or completes initial and ongoing comprehensive assessment. Provides interventions and implements recommendations after engaging patients and their caregivers/families. Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum. (30%) - Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure a timely discharge and provide appropriate connection with post-discharge care providers and community-based resources. (25%) - Educates patient, family/caregiver and physician...