Care Coordinator SW WMCG - Care Coordination
Wellstar Health Systems

Facility: AU Medical Center, Inc.
Job Summary:
The Care Coordinator SW provides guidance and education to patients and families and is responsible for assessing the psychosocial needs and coordination of care for a designated population of patients. Exhibits a deep understanding of each patient's medical needs, insurance coverage, health literacy, and other socioeconomic factors that may impact their opportunity for wellness. Aids and assists patients in overcoming any barriers presented by these elements.

Core Responsibilities and Essential Functions:
Evaluates the plan of care for individual patients and/or patient populations, utilizing nationally recognized medical necessity criteria, to assure that care is based on accepted standards, evidence-based practice, and current research.

Collaborates with patients, families case managers care coordinators and nurse navigators to include insurance companies to coordinate patients transitions to and from various levels of care. Initiates referrals to outside providers as appropriate. Conducts an appropriate level of psychosocial assessments within 24 hours of receiving a referral on all patients referred for social services.

Identifies the opportunity for quality improvements in both inpatient and outpatient care transition and ensures compliance with applicable regulations.

Maintains professional certifications, self-identities and self manages training opportunities.

Other duties as assigned

Required Minimum Education:
Bachelor's Degree in Social Work or related. Excellent assessment skills. Strong organizational skills. Ability to work independently and team setting. Current American Heart Association or American Red Cross Basic Life Support (BLS)

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Current American Heart Association or American Red Cross Basic Life Support (BLS)

Required Minimum Experience:
2 years or more experience in healthcare or hospital setting coordinating post-acute discharge services