Ambulatory Social Worker CM

• Provide care/service safely and efficiently for a full range of services to patients of all ages and their families
• Collaborate, communicate and facilitate coordination of services as established by the healthcare team
• Responsible for the psychosocial assessment of patients, coordination of care and linkage to community resources and providing emotional support to patients and their families
• Ensure appropriate decision makers are informed of and involved in treatment planning
• Apply pertinent state and federal regulations regarding documentation and reporting requirements
• Identify, monitor, and report opportunities for quality and performance improvement
• Takes call as required by the department expectations
• Completes psychosocial assessments of patient/family situations including social, psychological, emotional, financial and other related factors
• Evaluates psychosocial and medical/nursing information to determine an appropriate social service action/ plan of care
• Participates in interdisciplinary team meetings as needed
• Initiates and participates in family conference to determine psychosocial and community resource needs
• Participates in Care Team meetings by providing relevant and discipline specific information to the entire healthcare team and coordinating any linkage to services on identified areas
• Advocates on behalf of patients and caregivers for identification and access to services
• Provides supportive counseling to assist patients/families in adjusting to disability and illness, and for realistic planning for care in the community
• Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating the options available
• Documents appropriate information in the patient’s medical record to ensure communication of patients’ psychosocial needs for care in the community
• Contributes to the financial viability of hospitals
• Works in partnership with physician and clinic nurses to ensure timely linkage to services
• Utilizes established procedures and appropriate resources in working with third party payors to ensure safe and timely coordination of care
• Participates in the case management activities at assigned site
• Participates in professional development activities
• Acts as a preceptor for new team members
• Assists in training of new team members
• Demonstrates flexibility and teamwork among case management staff members
• Provides coverage to other clinic areas as needed or as requested by Manager

• Masters Social Work in Social Work from an accredited college or university
• Licensed Specialist Clinical Social Worker(LSCSW) - State Board of Behavioral Sciences OR Licensed Masters Social Worker(LMSW) - State Board of Behavioral Sciences
• State of Kansas OR State of Missouri Social Work license
• Basic computer skills required

Experience in a health care setting