Full time position
Exciting opportunity to work for the oldest and largest pediatric Accountable Care Organization in the country! Our Social Work Care Coordinators work closely with providers, payers, and patients to improve care for children with complex medical issues in a team environment. Opportunities abound for mentorship and to participate in research and program growth initiatives. Our patient outcomes show that our children spend less time in the hospital and emergency room as a result of our care coordination efforts. Reach your potential and enjoy your work every day when you join our team! Masters of Social Work and Ohio Licensure (LSW) required to with our team at Nationwide Children's Hospital. At Nationwide Children's we practice a collaborative approach. Our Social Work Care Coordinators interact directly with the physicians, specialists, nurses, and a Quality Outreach Coordinator involved in the patient's care. As a Social Work Care Coordinator, you would be present at clinic and hospital visits these could be at home, hospital or clinic, giving you the opportunity to truly support your families throughout the entire visit. The social work leadership will provide supervision for independent licensing and training. To learn more about this opportunity the full job description is below:The Social Work Care Coordinator emphasizes population-based outcomes and improvements in health status through care coordination, health promotion and disease prevention as they assist patients and families to navigate effectively through the course of their illness. The Social Work Care Coordinator assesses key needs, addresses local and systemic issues interfering with care, assists families in setting appropriate goals and tracks progress toward achieving these goals. They provide care coordination, plan for education, and provide for patient-safety and quality of care.
Why Nationwide Children’s hospital?
The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Children’s Hospital, where Passion Meets Purpose.
Here, Everyone Matters. We’re 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world we’ll never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.
Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.
Nationwide Children’s Hospital. A Place to Be Proud.
1) Implements interventions designed to improve health, care, and cost in the Partners for Kids population.
2) The Social Work Care Coordinator is responsible for those patients identified by the Medicaid Managed Care Plan partners as the top 1% of their populations that require care coordination, as well as identifying and managing other patients who are not navigating well through the health care system.
3) Outreach to primary care physicians, specialty physicians, and other service providers to identify patients in need of care coordination.
4) Works closely with families to guide them through the health care system to optimize the care and services they receive to improve child health through better, more efficient care and overcoming barriers to receiving care.
5) Expertly uses social work skills and processes, and serves as a resource to:a. Complete the appropriate health status assessmentb. Establish an effective relationship with the patient/familyc. Document a plan of care in the appropriate system, including appropriate goals set with input from physicians and familyd. Evaluate patient care and patient's response/progresse. Assess patients and revise plans of care as appropriatef. Monitor patients' needs for preventive care and assists in arranging for those servicesg. Assist with discharge planning if in an inpatient setting, as appropriateh. Anticipate patient needs regarding organizing services and additional needsi. Plan, provide, delegate, and evaluate patient/family education as appropriatej. Collaborate effectively with all health care disciplines to facilitate optimal patient and family health and full potentialk. Refer/connect/collaborate with community agencies to assist in and provide resources for patients in care coordination program
6) Demonstrates awareness of and support for the principle of Family Centered Care.
7) Demonstrates understanding of the principles of palliative care and incorporates those principles in care coordination activities for patients.
8) Communicates patient care needs/expectations/priorities to primary care physicians, specialty physicians, and other service providers.
9) Works closely with care coordinators based in other settings and levels of care to collaboratively develop a work plan for a given patient, and share responsibility in an efficient manner.
10) Effectively relates and interacts with patient, families, and health care team and serves as a role model for others.
11) Effectively manages patient care through one or more of the following:a. Delegating and coordinating care for patientsb. Care conferencesc. Clinical roundsd. Other coordination activities
12) Collaborate with internal and community resources to promote a healthy lifestyle and prevent escalation of health conditions.
13) Maintains professional standards and serves as a role model by setting professional goals and participating in activities to meet goals.
14) Coordinates research, quality improvement activities, and special projects.
15) Participates in evidence-based practice through application of policy, review of literature, and/or participation in social issues research.
16) Accepts and supports change in a positive manner.
17) Plans, implements and evaluates program changes.
KNOWLEDGE , SKILLS AND ABILITIES REQUIRED
1. Current Social Work license in Ohio required.
2. Master's Degree in social work required.
3. Two years' experience in medical social work required.
4. LISW desirable.
5. Effective customer service, communication and interpersonal skills required for interaction with contacts.
6. Professionally appropriate analytical and organization skills required.
7. Case Management certification desired.
8. Pediatric Experience Preferred.
9. Travel and home visiting within a 34 county area expected.
10. A good Driving record and a working vehicle is required.
11. Proof of auto insurance
12. Active driver's license
MINIMUM PHYSICAL REQUIREMENTSMust be able to see, hear, stand, walk, speak, read and perform manual tasks with or without accommodation, and care for oneself with little or no difficulty.Must be able to work for extended periods on the phone.Must be able to travel to other settings to meet with and coordinate care for patients.The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.EOE M/F/Disability/Vet