Inpatient Registered Nurse, Social Worker (MSW), Care Manager
St. Luke's University Health Network
full-time
Posted on:
Location Type: Office
Location: Easton • Pennsylvania • United States
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About the role
- Assess the patient’s needs, goals, and barriers in relation to the patient’s clinical condition, psychosocial environment, and socioeconomic resources
- Collaborate with the multidisciplinary team to plan, implement and evaluate the patient’s plan of care through rounding or other methods
- Collaborate with the patient, family or other caregivers, and multidisciplinary team to design a discharge plan respective of the patient’s needs and goals
- Re-evaluate and revise discharge plan of care as additional information is obtained or goals change
- Proactively considers options such as palliative care, home care and other services that work to keep the patient as healthy as possible in the outpatient setting, minimizing the risk of re-admissions
- Works as a team with other members of care management, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director
- Facilitates communication among all treatment team members
- Manages length of stay by proactively identifying and mitigating issues and barriers to care and a successful discharge plan
- Monitors risk assessment using available tools and implements discharge interventions accordingly, minimizing risk of readmission
- Identifies patients with an unplanned readmission and completes root cause analysis
- Collaborates with Outpatient Care Managers to identify patients for handover and post discharge follow up
Requirements
- MSW or equivalent from an accredited school of social work
- Current NJ SW license if working at St. Luke’s Warren Campus
- May hire per diem BSW’s currently in school within 6 months of completing MSW
- Graduate of professional nursing program
- Registered Nurse with current license to practice in the State of Pennsylvania or seeking Pennsylvania licensure through reciprocity
- NJ RN licensure required for Warren Campus
- Advanced degree preferred
- BSN required or obtained within 3 years of hire, MSN and/or Case Management Certification preferred
- Preference is for at least two years of experience as an RN or Social Worker in an acute hospital setting
- Previous care management experience is preferred
- Strong critical thinking skills
- Knowledge of medical terminology required
- Basic computer skills required
Benefits
- Health insurance
- Flexible working hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
MSWBSWRNBSNMSNCase Management Certificationmedical terminologycritical thinkingdischarge planningrisk assessment
Soft Skills
collaborationcommunicationproblem-solvingteamworkpatient advocacyorganizational skillsproactive thinkingevaluation skillsinterpersonal skillsadaptability
Certifications
NJ SW licensePA RN licenseCase Management Certification