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COMPLETE Social Services BH - Social Worker - Barnesville Hospital (BARNS)

10 days ago


Job Opportunity Details


Full Time


Not Telling

Work from home


Weekly Working Hours

Not Telling


Not Telling

Working Location

Barnesville Hospital (BARNS), United States   [ View map ]

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Collaborates with the physician and case manager and other members of the multi-disciplinary team as well as the patient and their family members (including legal representatives) in the design and documentation of an explicit discharge plan of care. Implements and evaluates the progress of the plan of care. Collects key data elements which describe the achievement of quality, performance improvement, utilization, financial and organizational goals.


1. Bachelor’s Degree in Social Work.
2. Social Worker with current licensure to practice in the state of West Virginia or applicable state of practice
1. Minimum 2 years of Social Work experience.


1. Certification in Case Management (CCM or ACM).
1. Minimum 2 years of discharge planning experience within an acute care hospital.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an exhaustive list of all responsibilities and duties.  Other duties may be assigned.

1. Complete a comprehensive assessment to develop a safe, realistic discharge plan of care appropriate for the patient, in consideration of psychosocial, emotional and financial needs, and in collaboration with the care management team and documents in the electronic medical record.
2. Assess changes in the physician’s plan of care and any impact on the discharge plan.
3. Reviews discharge plan on an ongoing basis and communicates any changes to the appropriate party.
4. Documents the discharge plan in the electronic medical record on an ongoing basis to facilitate communication to the interdisciplinary team.
5. Identifies potential problems with post-discharge care and /or initiates early referrals to promote proper utilization of hospital resources and timely transfer to the appropriate level of car.
6. Assists the interdisciplinary team in identifying alternate methods and level of care when patient does not require acute hospitalization and takes appropriate action to minimize financial loss to the hospital and improve the quality of patient care delivery (discuss cases with patients and families, consult with physician).
7. Refer patients to appropriate long term care facilities according to the facility’s specified referral process, assist to arrange transfer and document in the electronic medical record.
8. Arrange services including but not limited to home health services, hospice, DME, IV therapy, etc. Freedom of Choice is obtained following established guidelines and be honored when arranging services. 
9. Explore and collaborate with resources within the hospital and community to meet defined patient needs and refers patients and/or families to resources including but not limited to income assistance programs, transportation services, meal assistance, etc. 
10. Ensure discharge needs are met prior to discharge.
11. Assess for signs and symptoms of abuse and/or neglect and make referrals to appropriate agencies (Adult Protective Services or Child Protective Services).
12. Assist in identifying a decision maker of medical (Health Care Surrogate) or if there is an existing Medical Power of Attorney designee and presence of a Living Will or other advance directive. 
13. Assist patient in completing Living Will, Advance Directive and Medical Power of Attorney (MPOA) forms as requested.
14. Work with hospital legal counsel in pursuing and expediting guardianship, and/or conservatorship actions when necessary.
15. Collaborate with hospital legal counsel as well as appropriate agencies, patient, physician and other health care professionals to ensure adoptions are completed according to appropriate laws, rules and regulations.
16. Provides education and guidance to physicians, patient, family and other health care professionals about Medicare, Medicaid and other third party payers coverage issues and regulations.
17. Follows established infection control guidelines and policies when interacting with patients.
18. Communicates to case management leadership or designees and/or appropriate physician, medical staff director/peer review regarding deviations from expected norm, quality or appropriateness of care; length of stay issues; risk management issues.
19. Participates in meetings as indicated for the purpose of education, identifying length of stay issues and resolutions to expedite discharge.
20. Assist in the development of departmental policies and procedure guidelines.
21. Assist with other duties as directed by case management leadership or designees.
22. Adheres to hospital service standards.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to exert up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or negligible amount of force constantly to move objects.
2. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping are necessary body movements utilized in performing duties throughout the work shift.
3. Must be able to sit for extended periods reading charts, files, etc.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Exposure to high stress and frequent work interruptions.
2. Must be capable of working in a confined space and under fluorescent lighting.
3. Exposure to cleaning agents and disinfectant.
4. Exposure to toxic gas, fumes, and odors.
5. Exposure to electrical current.

1. Must be able to read and write legibly in English.
2. Must be able to type.
3. Visual acuity and hearing within normal range is required.
4. Must have strong verbal and written communication skills to effectively communicate. 
5. Must demonstrate ability to communicate and to use tact and diplomacy in dealing with physicians, patients, families and other health care professionals.
6. Ability to work independently while being able to communicate with the team.
7. Ability to assess complex situations and develop an appropriate, safe discharge plan.
8. Must demonstrate characteristics of dependability and punctuality.
9. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public.
10. Demonstrate the knowledge and skills necessary to provide care, based on physical, psychosocial, communication, safety, education level, and related criteria for the infant/pediatric/adolescent/adult/geriatric patient per the established age-specific standard.
11. Must have the ability to work successfully under highly stressful conditions and must be capable of adapting to varying workloads and work assignments on a constant basis.
12. Ability to make sound, independent professional judgments as evidenced by identifying potential problems and taking appropriate action.
13. Ability to collaborate successfully with other multi-disciplinary team members in an appropriate fashion.
14. Ability to comprehend and perform oral and written instructions and procedures.
15. Must be able to organize, prioritize and complete assigned tasks.
16. Must be able to work extended hours which may include weekends and holidays (dependent on department need).

Additional Job Description:

Scheduled Weekly Hours:




United States of America (Exempt)


BARNS Barnesville Hospital

Cost Center:

403 BARNS Care Management


639 West Main Street



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  • Organization Details
    BARNS Barnesville Hospital

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