MSW LMSW SW Care Coordination

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY
The social worker Care Coordinator is a member of the Care Coordination Department (a Hospital department) who educates the healthcare team and physicians about psychosocial issues and any identified patient/family problems as well as strategies to address the issues. The individual in this position, in conjunction with RN Care Coordinators, has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. This position will conduct complex psycho-social assessment and intervention to promote timely throughput, facilitate a safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Care Coordination- A process whereby screening/identification, assessment, planning, sequencing of care and communication, when effectively integrated, ensure and advance the plan of care to support successful transitions. Compliance- Knowledge related to federal, state, local hospital and accreditation requirements that impact scope of services to include, Centers of Medicare and Medicaid Services (CMS) Condition of Participation. Transition Management- Planning that begins at the time of the initial patient encounter (preadmission, admission, emergency department, etc.) and is reevaluated and adjusted throughout the patient's hospital stay. Care Coordinators (both SW and RN) will arrange/ensure all elements of the transition plan are implemented and communicated to key stakeholders including, but not limited to, the health care team, patient/family/ caregiver, and post-acute providers. Care Coordinators will convey all necessary information for continuity of care and patient safety, verify receipt and provide a venue for additional questions and/or information requests/needs.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required

• Licenses and Certifications
  (LMSW) LIC MASTER SOCIAL WORKER licensed in the state of Texas.

Preferred

• Experience
  2 years hospital experience

JOB DUTIES

• Screens and evaluates high risk patients for discharge planning needs. Consults with attending physicians and members of the healthcare team regarding any identified psychosocial issues and/or care transition barriers.
• Recognizes that the transition process is collaborative with the multidisciplinary team to include the patient/family and assists with executing the plans and interventions to facilitate the hospital stay and manage length of stay and reassesses as care needs change.
• Facilitates patient care conferences as indicated, to include complex cases to proactively assist with establishing a safe and effective discharge plan.
• Implements the transition of care plan to the next level through appropriate service referrals and assures that the patient is given choice in regards to agencies and services.
• Assists with adoptions, abuse and neglect cases, including assessment and investigation, intervention and referral as appropriate to local, state, and/or federal agencies, as indicated.
• Educates and provides information and resources to patients and families regarding the availability of community resources. Interprets patient and family needs and provides information concerning availability and limitation of resources.
• Maintains open communications with community agencies to appropriately assist in referring and meeting patient needs.
• Maintains knowledge of payor benefits, hospital and community resources, and regulatory standards to ensure informed decision making, continuity of care, and desired outcomes (i.e. medical, medical cost, quality of life, and patient satisfaction).
• Maintains chronological notes, clinical charts, statistical data, or case histories for each patient with respect to social problems, adjustments for patient and family involvement, and actions taken or planned.
• Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other duties as assigned.

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.