ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is the most comprehensive healthcare provider in the State of Wyoming. Certified as an Area Trauma Hospital, Campbell County Health includes Campbell County Memorial Hospital, an acute care, community hospital in Gillette; Campbell County Medical Group with nearly 20 clinics; The Legacy Living & Rehabilitation Center long-term care center and the Powder River Surgery Center. We are dedicated to excellence every day…

To be responsive to our employee’s needs we offer:

• Generous PTO policy (increases with tenure)
• Paid sick leave days
• 403(b) with employer match
• Employee Assistance program
• Employee and Spouse Occupational Health Program
• Early Childhood Center, discounted on-site childcare
• And more! Click here to learn more about our full benefits package

JOB SUMMARY

Social Worker focuses on integrating case management, social services, discharge planning, utilization review and pre- and post- hospital services to ensure clinical efficacy and best outcomes for our patients. The Social Worker works to ensure the provision of quality health care along the continuum of care, decrease fragmentation, enhance the patient’s quality of life, efficiently use patient care resources, maximize cost containment opportunities, and improve successful post-hospitalization transition care. The Care Manager-SW guides the integrated team in the functions of care coordination, facilitation of referrals, education, discharge planning, utilization management, and advocacy. The Social Worker reports to the Manager of Care Continuum and Case Management Supervisor.

PRIMARY JOB DUTIES

• Will see patients who have been referred to CM. Completes assessment of patient and family in timely manner. Specific attention is paid to at-risk and/or resource intense inpatients. Patients will be triaged among the RN Case Manager and Social Worker based on intensity of patients psychosocial, financial and discharge needs.
• Assess patient/family adaptation to illness/disability and capacity to provide for patients care needs. Monitors patient’s clinical course to provide ongoing patient care coordination. Verifies patient’s needs for acute hospital level of care using InterQual Criteria. Identifies obstacles to discharge.
• Collaborates with physicians, nurses and other disciplines involved with care of the patient to foster a coordinated approach to patient care. Communicates with physician regarding the medical plan of care, anticipated discharge, and consideration of alternative setting. Facilitates and impacts process issues to avoid delays in patient care. Intervenes with appropriate individual/departments regarding delays in service that may have an impact on quality of care and/or length of stay. Provides feedback to Manager of Care Continuum and Case Management Supervisor regarding delays to constantly improve the process.
• Function as a liaison to external agencies including home health/hospice, rehab/skilled facilities and assisted living/long term care facilities, public health and other community-based resources as identified.
• Maintains clear and concise documentation in each patient record to reflect physical and functional limitations, psychosocial characteristics, educational needs of patient and family, family/social support systems, financial, economic, and discharged needs. Initiates referrals to disciplines as indicated. Documentation will reflect plan of care to address post-hospital care needs and evidence of patient/family involvement in planning
• Focuses on the patient’s goals and preferences and includes the patient and caregiver’s/support persons as active partners in the discharge planning for post discharge care. The discharge planning process and plan must be consistent with the patient’s goals for his/her treatment preferences, ensure effective transition of the patient from hospital top post discharge care and reduce the factors leading to preventable hospital readmissions.
• Will assist patient and their families in selecting a post-discharge care provider, by sharing and using data on quality and resources use measures, as may be relevant to the patient’s goals of care and treatment preferences
• Discharge planning evaluation will be made in a timely basis to ensure that appropriate arrangements for post-discharge care will be made before discharge and to avoid unnecessary delays in discharge.
• Demonstrates commitment to work partners to help each other reach mutual goals and learn from each other. Demonstrates actions and behaviors that consistently promotes trust, respect, positive attitude and promotes team morale
• Seeks peer and supervisor consultation regarding problematic cases or cases demonstrating deviations from the plan of care
• Conducts self in professional manner, using Standards of Behavior as outlined by CCMH
• Maintains professional relationships with other departments, external organizations, service providers, physicians, and families of patients
• Must be free from governmental sanctions involving health care and/or financial practices
• Complies with the hospitals Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures. Works within the scope of the Wyoming Social Work Practice Act
• Performs other duties as assigned.

JOB SPECIFICATIONS

• Education
  • Bachelor of Science in Social Work
• Licensure
  • None required
• Experience
  • Three years of experience in healthcare field preferred.

Hours of Work | Up to 40 hours per week, plus weekend call as assigned.

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