Social Worker - Rural Health (Master's level, on-site + remote))

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department.The OP CM SW provides professionally established methods of assessing a patient's unique bio-psychosocial status, assists patients and families in resolving problem areas, and connects them with appropriate community resources and services. Responsible for the psychosocial component of patient care as it relates to medical stability and wellness, the OP CM SW collaborates with both health care and community partners to address social determinants of health and promote self-management of care needs.The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as needed to address the social needs of the medically complex patient. JOB DUTIES AND RESPONSIBILITIES:• Provides assessment, care planning and intervention to patients and caregivers, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate. • Provides counseling directed toward helping patients/caregivers cope with and understand the relationship between physical functioning, illness and the consequent social/emotional impact and adjustments required.• Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination. • Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement. • Organizes individual patient care meetings with internal and, as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome.• Provides patient/caregiver and/or care team education as needed as it relates to government mandates/laws. • Proactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. • Ensures appropriate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system.• Functions autonomously under the Organization and Departmental policies and procedures and in compliance with the NASW Code of Ethics. • Acts as a liaison to community agencies, health institutions, etc., to address systems issues affecting patient outcomes by serving, as able, in community groups and organizations. • Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated. PHYSICAL AND SENSORY REQUIREMENTS:Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs.Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard.EDUCATION:Master's degree in Social Work from an educational institution accredited by the National Council on Social Work Education (NCSWE) preferred. LICENSURE / CERTIFICATION:State licensure for MSW in PA and NJ preferred. State licensure for MSW in NJ required if working in NJ. TRAINING AND EXPERIENCE:MSW with minimum of two (2) years' experience in medical social work case management or other experience as related to site of service preferred or as above. Please complete your application using your full legal name and current home address.Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is anEqual Opportunity Employer. RemoteAbout the Company:St. Luke's University Health NetworkSt.Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey. The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:• More than 80 owned physician-practice sites• 300 employed primary care/specialist physicians• Various outpatient testing and service facilities• Home health• Hospice services (inpatient and outpatient)• Largest ambulance provider in Bucks County and second largest in Lehigh County• Other related organizations• 57,500+ annual admissions• 195,000 annual emergency room visits• 1,325 physicians on the Medical Staff (96 percent board-certified)• 8,600+ employees• More than 1,350 volunteersAreas of exceptional medical expertise include:• Level 1 Adult Trauma Center: fully accredited by Pennsylvania Trauma Systems Foundation; 2,400+ annual trauma cases; St.Luke's 1.75 percent mortality rate represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aeromedical transport services• Oncology: first and only cancer program in Pennsylvania to receive American College of Surgeons' highest quality recognition for three consecutive years; only Pennsylvania program to receive award in 2010; region's only fellowship-trained surgical oncologists; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine• Cardiology and Cardiovascular Surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 10 percent of U.S.hospitals (Society for Thoracic Surgery); region's first Joint Commission certified Heart Failure Program; comprehensive surgical services excluding heart transplants• Neuroscience: accredited Stroke Center; additional Centers of Excellence include: Balance Center, Headache Center, Memory Disorders Center, Multiple Sclerosis Center, Sleep Disorders Center• Orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the hand and elbow, traumatic injuries• Women's/Children's Health: high-risk pregnancy; the region’s busiest obstetrical service; two neonatal intensive care units; pediatric specialty care provided by St.Christopher's Hospital for Children. • Robotic/Minimally Invasive Surgery: one of the nation's most experienced robotic surgical teams• Radiology: designated international General Electric Healthcare Show Site for imaging technology; designated Breast Imaging Center of Excellence by American College of Radiology• Bariatric Surgery: designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review CorporationSt. Luke's offers an exceptional benefit plan for employees.Our values are reflected in all we do for patients, each other and the community:Pride - We take pride in our accomplishments and in our organization. Caring - We show consideration for others and their feelings. We treat others as we want to be treated. Respect - We recognize the value, diversity and importance of each other, those we serve and the organization. Accountability - We are responsible to make decisions and solve problems in a timely and effective manner. Flexibility - We adapt to the changing needs and expectations of those we serve.Teamwork - We work together to improve quality. The mission of St. Luke's University Health Network is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Company Size:5,000 to 9,999 employeesIndustry:Healthcare ServicesFounded:0 Apply tot his job