Social Worker

The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination.

Assumes responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Responsible to assess the patient for transition needs including identifying and assessing patient at risk for readmission.

Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable readmissions.

Integrates national standards for case management scope of services including: Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequenced and provided at the appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; and Education provided to physicians, patients, families and caregivers.

Completes established competencies for the position within designated introductory period. Other related duties as assigned.

Responsibilities

• Completes comprehensive assessment within 24 hours of patient admission to identify and document the anticipated transition plan for patients
• Integrates key elements of patient assessment, patient choice and available resources to develop and implement a successful transition plan
• Completes Complex/Psycho-social assessment and plan for patients identified as high risk for readmission.
• Provides psycho-social assessment and intervention for patients identified with identified needs including behavioral health, lack of support systems, financial barriers, end of life, and/or medication adherence.
• Delegates the implementation of the transition plan to LVN/LPN or Assistant staff and follows up to ensure the transition plan is completed timely and accurately
• Ensures all elements of the transition plan are implemented and communicated to the healthcare team, patient/family and post-acute providers
• Provides information to patients to make informed choices when community services per Tenet policy
• Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy
• Completes timely, complete and accurate documentation in the Tenet Case Management system to communicating information to the care team and provide documents needed in the patient record
• Screens patients for factors that may affect the progression of care and intervenes as needed to promote timely and appropriate throughput

Qualifications

Minimum Education

Graduate of accredited school of Social Work Master's in Social Work (MSW) PREFERRED EDUCATION: Master’s Degree Social Worker (MSW) MINIMUM EXPERIENCE: None required PREFERRED EXPERIENCE: 2 years acute care experience REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State Social Work License based on Degree PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Manager (ACM) REQUIRED COURSES/ COMPLETIONS (e. g., CPR ) N/A

Baptist Medical Center Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Baptist Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and

programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status: Baptist Health System has more than 120 years history of caring for our community and making a positive difference.

Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions.

Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!