Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.

Summary:

This Licensed Social Worker will provide clinical care management services to identified eligible patients, coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Works as a member of Interdisciplinary Team (IDT) along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient’s individual needs are identified and addressed in a timely manner, Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources.

Essential Functions:

• Maintain a caseload of patients according to department policies.

• Identify, enroll and manage patients in program for Complex Case Management.

• Develop and implement care plans to maximize wellbeing with periodic review and update according to department protocols.

• Collaborate with ACM, PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan.

• Perform situational and family assessment of social determinants of care and develop goals as part of the comprehensive care plan.

• Perform patient outreach according to established protocols and document in electronic medical record.

• Identify, execute, and track needed referrals to care and community resources.

• Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, and right time.

• Assist patient in advanced care planning to complete Advanced Directives.

• Document all communications with patient and/or care team in electronic medical record.

• Perform coordination of services for disabled status and/or facilitate placement in post-acute facility for rehabilitation or long term care.

• Act as patient advocate to address primary physical and socioeconomic needs and link patient to appropriate community resources and services.

Qualifications:

• Bachelor's Degree in Social Work required

• Master's Degree in Social Work preferred

• LSW or LCSW required

• 1-2 years clinical social work experience required; prefer 3-5 years acute care social work, discharge planning, case management, utilization review or quality assurance

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more

• Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com