HC8-KEN CAPS CASE MANAGER - SW in Kenansville, North Carolina at Liberty Healthcare Management

Liberty Cares with Compassion

At Liberty Hospice, we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion.

We are currently seeking an experienced:

CAP CASE MANAGER – SOCIAL WORK

Full Time

(Duplin & surrounging areas)

JOB SUMMARY:

• Provides social work case management services to an assigned CAP client caseload and medical social work services to home health patients as assigned.
• Completes initial client and family social work assessments within one week of the initial client encounter.
• Participates in development of the client Plan of Care and identifies equipment, supplies, home care services, and other resources needed for inclusion in the plan.
• Performs home visits as indicated and at least as frequently as required by applicable policies and regulations.
• Develops and maintains case management plans with the client and appropriate personnel, addressing current and potential problems, the medical care plan, client goals, and available financial resources.
• Communicates case management plans, anticipated Medicaid spend-downs, and other client-related activities verbally and in writing to appropriate personnel and agencies.
• Performs follow-up assessments at least monthly, or more frequently when appropriate, and maintains contact with clients, community case managers, and service providers to monitor outcomes and continuity of care.
• Updates and revises case management plans with the client, case management team, physician, and other providers as indicated.
• Documents all patient-related activities within eight hours of the encounter.
• Advocates for clients and supports the identification and development of community resources; maintains a directory of available and needed services by geographic area.
• Consults with agency clinical staff, case management team members, and service providers to address client health, psychosocial, and financial needs.
• Maintains liaison with the Ryan White HIV consortium and provides benefits advocacy services when requested.
• Participates in community and professional education and networking programs related to CAP, case management, and social work services as requested.
• Meets with the Clinical Case Manager, supervisor, and Home Care Lead Nurse as appropriate, and re-evaluates work priorities at least monthly.
• Maintains productivity and an appropriate client caseload as negotiated with the supervisor; keeps the supervisor informed of developments with potential departmental impact.
• Assists with development and revision of case management policies and procedures and participates in multidisciplinary quality improvement activities.
• Attends at least 50% of IFD clinical conferences and at least one continuing education program annually related to social work or case management in HIV/AIDS patients.
• Contributes to service excellence and continuous quality improvement; works effectively as a team member and supports team recommendations.
• Maintains client and patient confidentiality, follows safe work procedures, adheres to work schedules and professional conduct standards, and performs other duties as assigned.

JOB REQUIREMENTS:

• Strong interpersonal, teaching, counseling, and collaboration skills.
• Ability to communicate effectively, both verbally and in writing
• Requires employee to have his/her own, reliable transportation.
• Ability to collaborate with clients, families, clinical teams, physicians, agencies, and community service providers.
• Demonstrated skill in assessment, problem identification, community resource development, and patient and family counseling.
• Requires knowledge of computer skills and the ability to learn Microsoft Word, Excel and use the EHR as well as the state's documentation system.
• Requires ability to work autonomously with skills in organization, timeliness and the ability to provide effective care for CAP patients and the family unit.
• Requires ability to engage a working knowledge of psychosocial principles and family dynamic development.
• Requires knowledge that allows for identification and reassessment of social, emotional, financial and environmental factors, which may affect care and desired outcomes.
• Compassion for chronically ill patients and sensitivity to their psychosocial and existential concerns.
• Must have a valid driver’s license

Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.