New

Population Health Transitions of Care SW Liaison (Remote in Virginia)

The Rector & Visitors of the University of Virginia
$24.24 - $38.78 Hourly
United States, Virginia, Charlottesville
1215 Lee Street (Show on map)
Jan 28, 2025
The Post Acute Care Social Worker Care Manager conducts patient assessments to identify patients for potential admission into post-acute affiliates and partners. Assigned facilities and geographical territories are assigned for managing patient progression that are generated through operations. Creatively utilizes educational opportunities about the health system to present the system to intake sources. Develops and manages marketing strategies for assigned locations and travels to locations within the service area. Generates sources for potential patients to transfer to from the hospital while serving as a liaison for our system, affiliated agencies, and providers. Prospecting methods are used to generate leads and capture new capacity within the post-acute space Manage the medical center discharge relationships as an ambassador for patients who have had recent hospitalization discharging to a skilled nursing facility and/or hospice care. Advocates for the UVA Hospice Navigation and Hospice Progression Management process ensuring that our institution optimally provides support for our patients ensuring safe and effective care transitions. Maintains a positive and professional work environment. Investigates documents and resolves problems and complaints. Review all regulatory requirements to ensure high quality safe and cost-effective care Identify Management Length of Stay meeting based on experience discharge barriers. Acts as patient advocate. Explores patient/families current and projected financial resources for healthcare and essential needs (employment SSDI SSI Workers Compensation STD LTD and FMLA). Evaluate and measure outcomes in order to continuously improve practice and to enhance outcomes Participates and assists in departmental projects as appropriate. In addition to the above job responsibilities, other duties may be assigned Position Compensation Range: $24.24 - $38.78 Hourly MINIMUM REQUIREMENTS Education: Bachelor's degree in Social Work from a CSWE accredited social work program required. Experience: 3 years relevant experience. Acute care setting preferred. Licensure: Certification in Care Management required within 3 years of hire. PHYSICAL DEMANDS Job requires standing for prolonged periods, frequently bending/stooping/traveling and reaching (overhead, extensive, and repetitive). Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 50 - 100lbs. May be exposed to chemicals, humidity, heat, blood/body fluids, infectious disease and dust. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex, pregnancy, sexual orientation, veteran or military status, and family medical or genetic information.