New

Social Worker Geri Psych Inpatient

Yale New Haven Health
United States, Rhode Island, Westerly
25 Wells Street (Show on map)
Oct 01, 2025
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Case Management (CM) is an organized program that relies upon professional, clinical and/or nursing expertise and critical thinking skills to ensure safe, appropriate and fiscally responsible Access, Throughput and Transition within and across the continuum of care. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources balanced with the patient's right to self-determination. The CM functions include utilization review, patient advocacy, resource management, continuum of care management, transitions of care and clinical documentation management {refer to Scope of Practice, TWH UR Plan}. Staff will provide information and guidance to the patient and/or family promoting improved self-management, and enhanced patient-practitioner communication. A hospital case manager is an autonomous role that will, coordinate, negotiate and collaborate with the patient/family and the interdisciplinary team (both internal and external) in a patient and family centered model of care. Staff will ensure compliance with the hospital's UR Plan, demonstrating expertise in denial prevention/management. Staff will actively participation in the UR Committee. The hospital Case Manager will be responsible for coordinating all interventions/outcomes provided by the Care Management Team. The Clinical Social Worker provides skilled interventions for the support and/or resolution of patient and family crisis, problem solving and decision-making, advocacy and facilitation necessitated by life-changing events (e.g., adoption, guardianship, abuse, placement, bereavement), mediation of risk factors and coping with disease or disability, and other psychosocial and/or socioeconomic issues. EEO/AA/Disability/Veteran Responsibilities 1. Advocacy and Education 1.1 Customer Service 2. Clinical Care Coordination/Facilitation 2.1 Plan of Care and Outcomes Management. Facilitate coordination, communication and collaboration on behalf of the patient/family, physician and payer to achieve goals and maximize positive patient health outcomes. Patient Integration; ensure that each patient is the center around which all care decisions, plans of care and interventions are focused. 3. Continuity Transition Management 3.1 Ensure patient movement along the acute care continuum (Access, Throughput and Transition). 4. Financial Management 4.1 Acts as a resource for clinical documentation management outcomes oriented. 5. Performance & Outcomes Management (Clinical Resource Management) 5.1 Federal, State, Local, Regulatory agency compliance. Actively participate in the hospital's Utilization Review Committee. DNV (ISO 9001), RI UR Regs, patient safety and quality core measures 6. Psychosocial Management 6.1 Counseling Support and Referrals: Substance Abuse, ETOH/Drugs, Adult/Child/Domestic/Elder abuse identification and referrals. 7. Research & Practice Management 7.1 Application of Evidenced Based Practice. 8. Utilization Management 8.1 Adheres to The Westerly Hospital's 'Utilization Review Plan', State UR Regs, Third Party Payer contractual arrangements. Qualifications EDUCATION Master of Social Work, licensed as LICSW EXPERIENCE Post-master's experience in a health care setting. Thorough grounding in Federal/State laws and regulations pertaining to social services. Knowledge of community resources in Rhode Island and Connecticut. LICENSURE LICSW RI license YNHHS Requisition ID 160812