Company Atlantic Health System Hospital Corporation - 99 Beauvoir Avenue
Address 07902 Summit, New Jersey, United States
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Job Details
The Care Coordination MSW Social Worker works in collaboration with a multidisciplinary team of clinicians as part of the Care Coordination program to provide high quality, outcome-based, patient-centered care.
Address the social determinants of health to support safe transitions of care across the continuum for patients and families throughout the health system.
Support high-cost/high-risk patients to address barriers to care and navigation challenges across the care continuum.
Provide psychosocial assessment, sustainable care transitions, and structured support to help address social and economic barriers to positive health outcomes.
Maintain best practices, process systems, and key performance metrics to provide effective outcome-based, patient-centered care.
Ensure ongoing collaboration and communication with the interdisciplinary team, providers, and care team members.
Regularly attend and actively participate in forums, administrative meetings, staff meetings, and in-service training.
Other tasks as required by manager, director, or leadership.
Job Requirements
3-5 years in health-related field, hospital experience preferred.
Strong knowledge of community resources and social service, financial, insurance, and advocacy systems.
Familiarity with Epic preferred.
Exceptional organizational and time management skills with the ability to multi-task, problem-solve, and balance and deliver results.
Additional Details
Strong clinical, interpersonal, and analytical skills with clear verbal, telephonic and written communication.
Ability to function within an interdisciplinary team and develop and enhance collaborations with local community agencies and organizations.
Ability to navigate EMR and databases with demonstrated ability, including EMR documentation standards, Microsoft Office suite and metrics/outcome reporting.