Care Transitions Social Worker
Company: Bryan Health
Location: Lincoln
Posted on: March 25, 2025
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Job Description:
Summary
GENERAL SUMMARY:
The Care Management Social Worker is responsible for collaborating
with health care team members to identify and plan for the complex
and problematic psychosocial needs of the patient and family.
Assists patients and families in adjusting to the demands of
chronic health care needs across the continuum. Serves as a
resource to the inter-disciplinary team. Provides support and case
consultation to other case management team members when complex
issues arise.
PRINCIPAL JOB FUNCTIONS:
*Commits to the mission, vision, beliefs and consistently
demonstrates our core values.
*Completes case management assessments; determines priorities for
case management intervention
and differential treatment needs of patients and families;
documents assessment, plans and
interventions based upon departmental standards.
*Utilizes knowledge of high-risk indicators to identify all forms
of family violence; understands impact
of different types of chronic illness on the patient and
family.
*Provides supportive counseling to patients and families to enhance
coping mechanisms.
Provides crisis intervention services to patients, families and
staff; assists patients, families and staff in
problem solving and conflict resolution.
*Serves as a resource to the inter-disciplinary team and Care
Management Discharge Specialists in
meeting complex needs of patients and families throughout the
process of discharge planning.
*Partners with Care Management Discharge Planning staff to assist
in identification and resolution of
complex and problematic discharge planning issues.
*Maintains professional relationships and communicates effectively
with other members of the inter
disciplinary team.
*Initiates communication with peers about clinical practice
issues.
EDUCATION AND EXPERIENCE:
Masters degree in Social Work (MSW) from a School of Social Work OR
Masters degree in Counseling required. Current certification as a
Licensed Mental Health Practitioner (LMHP) by the State of Nebraska
preferred. Prior case management experience desired.
Keywords: Bryan Health, Lincoln , Care Transitions Social Worker, Healthcare , Lincoln, Nebraska
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