Assists patients and families with complex medical and behavioral health needs to navigate uneventfully, efficiently, and as effectively as possible through the course of their illness to improve or maintain social, emotional, functional and physical health. Practices professional social work and promotes patient advocacy in accordance with the NASW Code of Ethics for Social Work. Must maintain a current Ohio Social Work license. Essential Functions: Provides care coordination services to patients and their families as a member of an interdisciplinary team. Screens and identifies patients. Outreach to primary care physicians, specialty physicians and other service providers to identify patients in need of care coordination. Assists Care Coordinator in completion of Health Risk Assessment. Assists Care Coordinator with the development of family-centered plan of care. Facilitates communication and collaboration amongst the healthcare team. Develops patient’s/family self-management skills through education and resource provision. Performs ad hoc tasks as directed by Care Coordinator. Manages transitions between settings, caregivers and providers. Monitors and follows-up across the continuum of care. Provides consultation, education, and training to staff regarding psychosocial issues that impact the delivery of optimal health care services. Participates in orientation and continuing education of staff and students as appropriate. Education Requirement: Bachelor’s Degree in Social Work required. Licensure Requirement: Current Social Work license (LSW) in Ohio required. Valid Ohio driver’s license and proof of auto insurance as required by hospital policy and position-specific requirements. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children’s Hospital and maintain qualification of insurance guidelines. Certifications: Active BLS certification. Skills: Working knowledge of Medicaid and other regulatory agency standards. Experience: Experience working in healthcare in patient-facing role, preferred. Physical Requirements: OCCASIONALLY: Bend/twist, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Electricity, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Machinery, Patient Equipment, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel. FREQUENTLY: Color vision, Depth perception, Driving motor vehicles (work required) *additional testing may be required, Interpreting Data, Peripheral vision, Standing, Walking. CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting. The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet
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