CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5 th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Summary
This individual is responsible to facilitate care through the continuum utilizing effective resource coordination to promote optimal access to care balancing the patients’ resources and right to self-determination
The overall responsibility to assess the patient for transition of care needs and risk for readmission
This individual will be able to conduct complex psycho-social assessments and provide interventions to assist with throughput, safe discharges and avoid readmissions
Responsibilities
Completes initial /comprehensive assessment within 24 hours of admission, including anticipated transition (discharge) plan
Provides psycho-social assessment and intervention for patients identified with behavioral health issues, lack of social support systems, financial barriers, end of life and plan of care adherence
Ensures plan of care and interventions are implemented and communicated to health care team, patient/family and post-acute care providers
Complete timely, accurate and concise documentation in the EMR Care Coordination
Screens high risk and referred patients for psycho-social issues/barriers, that may impact the transition plan and intervenes as appropriate
Assists with adoption/abuse/neglect cases and reports to appropriate external agencies as required
Collaborates with patient/family/health care team to ensure patient preferences and choices are taken into consideration within the limitations of available resources Education
Ensure patient/ family receive education appropriate to their specific discharge plan
Provides education to medical and nursing staff regarding relevant issues related to transition plan Compliance
Ensures compliance with local, state and federal regulations and accreditation requirements
Operates within social work scope of practice as defined by the state licensing board Complex Case Management
Completes clear, concise and accurate initial/discharge planning/complex psycho-social assessments and reassessments per departmental guidelines (assessments within 24 hours of admission, reassessments every 3 days or as needed for change)
Escalates barriers to transition planning per departmental escalation plan
Completes post-acute referrals within 3 days of admission
Schedules and facilitates complex case patient/family conferences as needed (at a minimum of weekly)
Qualifications
Required
Bachelor in Social Work from accredited school of Social Work
Excellent interpersonal, written and verbal communication skills
Demonstrated organizational skills, critical thinking and problem solving skills and computer literacy
Unrestricted licensure in the State of Nevada
Licensed Social Worker (LSW)
Preferred
Ability to obtain Master in Social Work from accredited school of Social Work
Two (2) years of acute care coordination experience
Ability to obtain Accredited Case Manager (ACM) certification
Unit Specific Requirements Behavioral Health Services
Required
Non-Violent Crisis Intervention (NVCI) If hired prior to 8/6/2023, must successfully complete NVCI by June 30, 2024.
If hired after 8/6/2023, must successfully complete NVCI within six (6) months of hire or position entry.
Current, unrestricted driver's license
Top 5 Reasons to Live in Carson City, Nevada
Live, work and play in one of the most beautiful regions in the world
Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing
Just next door is Beautiful Lake Tahoe
We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno.
Family friendly atmosphere with affordable housing & excellent school system
Our Benefits
No State Income Tax
Medical, Dental, Vision, FSA, Telehealth
Paid Time Off, Mental Health, and Volunteer Days
100% Vested 401K & Roth with Company Contribution
Tuition Reimbursement
Referral Bonuses
On Site Education & Certification Programs
Base Wage Increases for Relevant Advanced Degrees
Free Calm App Subscription
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Hospitals and Health Care
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