Medical Social Worker (case Management)

Definition

**IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION**

Position Summary: Under the general supervision of the Senior Nurse Manager, Case Management (SNMCM) the Medical Social Worker will counsel, assesse, and assist individuals of all ages and families or groups who are affected by illnesses or injuries, and address SDOH (Social Determinants of Health) gaps and psychosocial needs. This job class is treated as FLSA Exempt.

Essential Functions : Essential functions may vary among positions and may include the following tasks, knowledge, abilities, skills and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

Examples of Tasks

• Provides psychosocial assessments to determine patient needs, makes appropriate referrals, provides counseling and supportive services to patients/families, makes referrals to the Division of Child Protection and Permanency (DCP&P)
• Evaluate patients based on their needs and limitations and care gaps
• Address patient concerns and goals while maintaining consistent communication with the patient as well as the provider/case manager
• Provide therapeutic support to the patient/family/caregiver as needed
• Plan, coordinate, manage and implement support to help patients deal with difficulties and adjustment to illness
• Collaboration with multidisciplinary teams and act as a resource for community resources
• Contacting and making referrals to other agencies and services
• Maintains documentation of patients situation and actions as well as efforts for coordinated care outlined in medical care plans

• Multidisciplinary Care Coordination: Follows established policies, procedures and standing orders.
• Follows patients through the care continuum and collaborates with other members of the health care team to ensure continuity of care and implements the agreed plan of care.
• Consults with physicians and other health care providers regarding patient specific clinical, social and behavior health related issues and educational needs.
• Facilitates timely and appropriate referrals and fosters positive relations with community providers and partners.
• Participates in patient care conferences including but not limited to hospital, clinic, home health care, SNF/LTC, etc. as well as specialty team meetings as required by Health Plans for individual groups of members and/or eligibility status (i.e. Special Needs, Individual Education Plan, Disability, etc.) by preparing and completing required documents.

• Maintains professional knowledge and proficiency in Medical SW through continuing education, staff meetings, training and conferences, etc.
• Participates in the data collection efforts to track outcomes.
• Performs other job related duties as assigned to maintain and enhance departmental operations.

Knowledge, Skills, Abilities and other Characteristics:

• Knowledge of the history, culture, laws, rules, customs and traditions of the SRPMIC.
• Knowledge of the purpose, current issues, projects, organization, policies, and employee responsibilities of the division to which assigned.
• Knowledge of theory, principles and scope of practice for a Medical Social Worker.
• Knowledge of federal, state, and agency laws and regulations governing professional nursing.
• Knowledge of health systems and disease processes.
• Knowledge of medical, public health and social service resources available to Native Americans including, but not limited to, Indian Health Service, Medicare, Medicaid, ALTCS, SSI, etc.
• Knowledge of CMS, AHCCCS, and commercial payer requirements as well as care coordination and resource management in ambulatory care settings.

• Skill with verbal and written communication and ability to communicate effectively with a wide range of people, correctional facility staff and health professionals.
• Skilled in verbal and written communication to effectively educate, counsel, and advocate for patients and their families.
• Skill with electronic health records and community resources.
• Skills in focused customer service and excellent problem-solving.
• Skilled in using electronic health record systems and other healthcare software for accurate documentation and information retrieval.
• Skill in strong organization and time management.
• Skilled in process improvement initiatives, working with a variety of departments and multi-disciplinary staff.
• Skill applying and interpreting federal, state, and agency laws and regulations governing practical nursing.

• Ability to use critical thinking and to problem solve in a professional manner.
• Ability to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams.
• Ability to prioritize tasks and manage medical services referrals effectively.
• Ability to express empathy and compassion to provide emotional support and address the needs of patients.
• Ability to establish and maintain positive working relationships with colleagues, subordinates, supervisors, health care professionals, Tribal officials, detainees and representatives of resource agencies.
• Ability to incorporate cultural differences, health beliefs and learning styles.
• Ability to maintain confidentiality.
• Ability to operate a variety of standard office equipment including cellular phones, photocopiers, FAX machines, calculators and personal computers including MS Office.

Minimum Qualifications

• Education and Experience:

• Masters of Social Work from an accredited school of social work
• Current and valid Arizona LSW or LCSW required.
• Previous medical hospital social work and/or ambulatory social work experience strongly preferred

• Equivalency: Any equivalent combination of education and/or experience that would allow the candidate to satisfactorily perform the duties of this position, will be considered.

• Underfill Eligibility: An enrolled Community Member whom closely qualifies for the minimum qualifications for a position may be considered for employment under SRPMIC Policy 2-19, Underfill.

Special Requirements

• May be required to work beyond normal business hours including nights, weekends and holidays.
• Employment is contingent upon successful completion of an extensive background check and drug screening. Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check.

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified : Community Member Veteran, Community Member, Spouse of Community Member, qualified Native American, and then other qualified candidate.

In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).

Documents may be submitted by one of the following methods:

1) attach to application

2) fax (480) 362-5860

3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date.

The IHS/BIA Form-4432 is not accepted .

Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.

Benefits:

The SRPMIC offers a comprehensive benefit package including medical, dental, vision, life, disability insurance, and a 401(k) retirement plan. In addition employees enjoy vacation and sick leave and 13 paid holidays.