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Kaiser Permanente · 14 hours ago

Social Work Consultant II, Emory Saint Joseph, On Call

Atlanta, GA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Kaiser Permanente is seeking a Medical Social Worker II to facilitate inpatient discharge plans and ensure smooth transitions for patients and their families. This role involves collaborating with healthcare teams, assessing patient needs, and providing resources to support care after hospital stays.

Health CareHospitalMental HealthNon ProfitPersonal Health

Comp. & Benefits

Responsibilities

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

Qualification

Licensed Master Social WorkerSocial Work ExperiencePsychosocial Assessment SkillsCommunity ResourcesElectronic Clinical DocumentationCCM CertificationMultidisciplinary TeamworkKeyboarding SkillsOral Communication SkillsWritten Documentation Skills

Required

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