Social Work Consultant Job at Kaiser Permanente (Atlanta)

Job Description

Mental health is an essential component of total health. As mental health professionals, we’re on the front lines every day, using the latest advances to help those in need. If you share our passion for care and our commitment to helping those around us, you’ll have the resources you need to make a real difference. Our services include adult and child therapy as well as help with addiction and eating disorders.

Job Responsibility

Discharge Planning: The primary role of the Medical Social Worker II for hospital settings is to facilitate the execution of approved and appropriate inpatient discharge plans between facilities or into the community
Under general direction of the Continumm of Care Leader and via clear and consistent communication with the onsite care management staff, delivers age-appropriate clinical social work insight and care to members and their caregivers in accordance with agency policy and procedure and state and federal regulations
The Medical Social Worker II serves as an integral member of the healthcare team ensuring coordination of discharge/transition planning and providing referrals to internal resources within the Kaiser Permanente network, information to community resources and other social work services to meet the complex needs of patients and families transitioning from hospital settings
Responsible for overseeing or participating in individual discharge plans which assist members and families to transition to the appropriate level of care upon the completion of the acute Treatment Plan with the measure of restoring social, emotional, financial, and environmental factors which affect and/or affected by the acute inpatient stay
Partners with multidisciplinary teams to identify needs and collaborate and execute individual discharge plans
Discuss options for care proactively including Kaiser resources and external community/government resources to assist member and caregiver(s) in developing short- and long-term care plans as appropriate
Collaborates with other disciplines in assessing, planning, and providing services for patients utilizing biopsychosocial information
Coaches member pre-discharge in advocating for self to receive appropriate services within Kaiser and in the community
Ensures member and caregiver(s) are updated with approved discharge plans
Takes, reviews, evaluates, and prioritizes written and oral referrals
Maintains documentation, records, and data collections
Responsible for completion of required documents in a complete and timely manner
Functions as liaison to the Post-Acute Team to assure appropriate, timely placement of Kaiser members in facilities
Serves as a liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care
Identifies appropriate levels of care and facilities for referred patients, were applicable
Obtains placements, where applicable
Collaborates with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives
Provides information and referral to community resources as requested
Coordinates exchange of information among Kaiser, families, members, and all facilities involved in the discharge plan
Determines application of Kaiser, Medicare, and any additional insurer benefits to specific patient situations
Coordinates the application of all active insurance coverage for the purposes of care transitions and ensures that coverage benefit coordination is communicated to all facilities involved
Participates in Utilization Management/Quality Assurance activities
Assists in coordinating communication between regional offices, clinics, hospitals, and field staff
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management
Works cross-functionally with other departments in striving to meet organizational goals and objectives
Works with referral sources to clarify and complete required clinical and psychosocial information
Provides consulting services to the local Kaiser Permanente Acute Care Centers, Clinical Decision Units, and core hospital KP partners on occasion
Escalates issues and barriers timely and appropriately
Perform other related duties as necessary

Requirements

Minimum two (2) years social work experience identifying and managing discharge and psychosocial needs of inpatients in an acute care or managed care setting within the last five (5) years
Masters degree in social work conferred by a program accredited by the Council of Social Work Education
Licensed Master Social Worker (Georgia) required at hire OR Associate Marriage and Family Therapist License (Georgia) required at hire OR Associate Professional Counselor License (Georgia) required at hire OR Licensed Clinical Social Worker (Georgia) required at hire
Demonstrated ability to perform on a multidisciplinary team
Must have strong psychosocial assessment skills
Knowledge of chronic and acute disease and how it impacts patient and family functioning
Demonstrated excellent oral/telephone communication skills and written documentation
Must be experienced in documenting in an electronic clinical information system
Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks
Demonstrated ability to function independently as a collaborative, supportive team member
Must be able to synthesize detailed and complex information regarding benefits and coordination of care
Must be able to assess SDOH needs and determine appropriate resources for addressing them
Proficiency with using multiple computer systems for research and documentation
Knowledge of community resources in Georgia required

Nice to have

CCM certification preferred
Keyboarding skills at least 60wpm preferred

What we offer

Medical, Vision & Dental
Professional Development
Retirement Plans
Vacation, Holiday & Sick Leave
Supportive Teams & Resources

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