159 Contract Work jobs in Royal Oak

Position Summary: Provides assessment and intervention to assist clients/families to improve social and economic difficulties interfering with health and wellness through use of casework process and principles, strategies, and community resources. Provides professional discharge planning services through assessments, and coordination of post hospital care needs to patients and their families, providing them with resources and choices to effectively link them to the needed level of emotional, medical and spiritual care. Receives referrals for individuals from at-risk populations from interdisciplinary team members.

Essential Functions and Responsibilities as Assigned:

1. Performs high level triage of all patients, with focus on identifying those with complex psych-social or financial issues, placement needs and community service needs within 24 hours of admission.
2. Receives RN Care Manager referrals to social work based on identified Social Work Triggers (see SW Referral Standard Operating Procedure - SOP).
3. Identifies and assesses barriers early in the patient’s stay, formulating a plan with the patient, family, internal and external members of the healthcare team, payers, and community resources. (e.g., LOS barriers to D/C)
4. Assesses patient and family needs for support and community service needs (Meals on Wheels, Sitters, etc.); educates and refers them to community resources, access to services, arrange for appointments and establishes rapport with other agencies.
5. Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
6. Identifies the need for, arranges, and participates in family care conferences; participates in interdisciplinary conferences and provides consultation for patient, families, and clinical staff (e.g., attends care conferences/unit rounds/huddles).
7. Identifies and reports avoidable day/variances and/or service delays from established plan of care to leadership.
8. Identifies patient and family preferences, needs and strengths, to foster for the interdisciplinary team in compliance with standards of care.
9. Interviews patient and significant others to assess patient’s psychosocial situation and identifies which family member is the point of contact.
10. Develops discharge plan in direct consultation with patient, family, physician, and health care team.
11. Manages complex cases/situations and intervenes with and advocates for patients and families as plan of care and discharge plan are developed. Complex discharge planning identified from SW triggers (see SW Referral Standard Operating Procedure - SOP)
12. Uses knowledge of insurance benefits and coverage guidelines to maximize appropriate utilization of resources.
13. Documents in the EMR: assessment, plans, interventions, barriers, and reassessments as necessary to facilitate discharge and/or transitions; ensures all pertinent information is transferred to post-acute agency.
14. Works collaboratively with the RN Care Manager, other disciplines, and internal and external members of the healthcare team to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.
15. Partners with external agencies and facilities to provide continuity of care for patient and family empowerment and independence to make autonomous health decisions.
16. Represents the integrated care management department on various teams and performance outcomes committees and projects.
17. Performs other related duties as required and directed.

Qualifications:

Required:

• Licensed Master’s Social Worker (LMSW); LMSW certification within one year of eligibility and maintenance of continuing education requirements

Preferred:

• Certification in Case Management Certification (ACM or CCM)
• Three years acute hospital care or social work experience
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

• Current resume
• Nursing license (specific to each state)
• Current BLS, ACLS, and/or specialty certifications
• Two current clinical references

• Competitive pay rates
• Health benefits
• Incentive programs
• PTO for those eligible under The Earned Sick Time Act in Michigan (codified as MCL 408.961 to 408.968)
• 401k retirement plan
• Referral and loyalty rewards

• High Pay & Flexible Packages - You'll always know what you're earning and why.
• Weekly Direct Deposits - Every Friday without fail.
• Housing & Meals Stipends - Structured up to the maximum GSA.gov limits whenever possible.
• Stress-Free Compliance - We handle health screens and immunizations; just show up!
• Travel Reimbursement - $500 upfront for every assignment.
• Referral Bonuses - $00 per referral, 750 after 5 referrals.
• Insurance Options - Choose from 4 health plans plus dental, vision, and worker's compensation.
• 401(k) Match - 4% match to secure your future. Vested after only 6 months.
• License & Certification Reimbursement - We cover everything you need to stay compliant.
• Professional Liability Insurance - Always have peace of mind.

• Actively working as Social Work
• Licensed in Michigan or compact licensure.
• Minimum of 1-2 years of recent experience in Hospital/Acute
• Ability to adapt quickly to new environments and maintain high patient care standards.

• Guides facility staff in matters of resident advocacy, protection and promotion of residents' rights.
• Responsible for implementation of Social Work & Case Management initiatives and training of policies and procedures that govern social services. Demonstrates working knowledge and ability to interpret and implement facility policies and procedures to staff. Demonstrates working knowledge of laws and regulations that influence provision of care and services in nursing facilities
• Assists in developing, implementing and maintaining an ongoing quality assurance program.
• Prepares for the long-term care survey. Interacts with State surveyors.
• Maintains open and trust-building relationships with resident family members, responding professionally and promptly to any requests or concerns.
• Demonstrates assessment skills sufficient to evaluate residents' behavior, to collect data and to evaluate psychosocial needs, risk factors for psychosocial deterioration and residents' responses to interventions. Performs administrative requirements such as completing necessary forms and reports, including MDS and care plans.
• Able to interpret and explain resident behavior to staff in a way that fosters understanding, facilitates treatment and respect for resident rights and minimizes use of chemical and physical restraints.
• Provides or arranges for social work or other mental health counseling services as need to attain or maintain highest practicable mental and psycho-social well-being.
• Record progress notes in the clinical record including subjective findings, objective symptoms, observations of behavior, interventions provided to resident and resident's responses to interventions
• Able to implement social service interventions that achieve treatment goals, address resident needs, link social supports, physical care and physical environment to enhance quality of life.
• Audits clinical records of residents on a regular basis to monitor resident responses to care and treatment and to identify concerns regarding resident rights.

• Customer Service
• Expectations Management
• Communication Skills
• Team Player
• Reliability & Accountability
• Functional Knowledge & Learning
• Creative Problem Solving
• Conflict Resolution

• Negotiating skills
• Ability to influence others
• Time Management skills
• Adaptability & Change Management skills
• Planning and Organization skills
• Integrity/ethical standards
• Analytical
• Results-oriented

• Bachelor's Degree in Social Work.
• Two years' experience in a health care setting, rehabilitation or long-term care environment preferred

• Guides facility staff in matters of resident advocacy, protection and promotion of residents' rights.
• Responsible for implementation of Social Work & Case Management initiatives and training of policies and procedures that govern social services. Demonstrates working knowledge and ability to interpret and implement facility policies and procedures to staff. Demonstrates working knowledge of laws and regulations that influence provision of care and services in nursing facilities
• Assists in developing, implementing and maintaining an ongoing quality assurance program.
• Prepares for the long-term care survey. Interacts with State surveyors.
• Maintains open and trust-building relationships with resident family members, responding professionally and promptly to any requests or concerns.
• Demonstrates assessment skills sufficient to evaluate residents' behavior, to collect data and to evaluate psychosocial needs, risk factors for psychosocial deterioration and residents' responses to interventions. Performs administrative requirements such as completing necessary forms and reports, including MDS and care plans.
• Able to interpret and explain resident behavior to staff in a way that fosters understanding, facilitates treatment and respect for resident rights and minimizes use of chemical and physical restraints.
• Provides or arranges for social work or other mental health counseling services as need to attain or maintain highest practicable mental and psycho-social well-being.
• Record progress notes in the clinical record including subjective findings, objective symptoms, observations of behavior, interventions provided to resident and resident's responses to interventions
• Able to implement social service interventions that achieve treatment goals, address resident needs, link social supports, physical care and physical environment to enhance quality of life.
• Audits clinical records of residents on a regular basis to monitor resident responses to care and treatment and to identify concerns regarding resident rights.

• Customer Service
• Expectations Management
• Communication Skills
• Team Player
• Reliability & Accountability
• Functional Knowledge & Learning
• Creative Problem Solving
• Conflict Resolution

• Negotiating skills
• Ability to influence others
• Time Management skills
• Adaptability & Change Management skills
• Planning and Organization skills
• Integrity/ethical standards
• Analytical
• Results-oriented

• Bachelor's Degree in Social Work.
• Two years' experience in a health care setting, rehabilitation or long-term care environment preferred
• #AP