Easter Seals Jobs

Summary

Part-Time 0.6 FTE, Wednesday through Friday 8:00 am - 4:30 pm, No Holidays, No weekends, No On-Call

Job Description

POSITION SUMMARY: Evaluates the psychosocial and medical needs of patients considered to be at high risk by identifying emotional, social and environmental strengths and problems related to their diagnosis, illness, treatment and/or life situation. This position will work as part of a defined multidisciplinary team including Case Managers, providers and pharmacist, and community health worker/care navigators to formulate, develop and implement case management goals for the identified patients. This position will also collaborate with physicians and clinical staff toward creating better healthcare outcomes for the identified patients.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• In conjunction with the practice team and using an explicit process, identify patients at risk for poor outcomes or experiencing poor coordination of services who would benefit from more intensive follow-up.

• Performs initial Triage/ assessment of incoming (New) referrals to department.

• Provide proactive outreach to patients to include telephonic, internet or face-to-face encounters.

• Manages rising and high-risk patients, including management of patients with multiple co-morbidities or high risk for readmissions to hospital setting, using evidenced-based care management best practices.

• Complete a comprehensive assessment of bio psychosocial, cultural and language support and self-management support needs.

• Documents assessments, care plans, interactions, and interventions according to the department and health care system guidelines and standards.

• Provide coordination with and act as liaison to hospital, long-term care, specialty, home health services, referrals, Emergency department (ED) visits, and post discharge, screenings and tests for care-managed patients.

• Collaborates with team members and the health system clinical staff in the development and execution of the plan of care and achievement goals including transition planning from the program.

• Acts as a patient advocate by facilitating communication among patients and families, care team providers, health system clinical staff, and program team members about client’s psychosocial/ medical issues. Facilitates interdisciplinary conferences, as needed, to review treatment goals and optimize resource utilization.

• Develops and maintains relationships with a wide variety of community agencies and facilitates communication between these agencies and patients, families and clinical personnel.

• Assists patients to obtain appropriate health care benefits including prescription assistance.

• Assist patients in problem-solving potential issues related to the medical conditions, health care system, financial and psychological barriers.

• Assists patients and families in areas of resource planning (such as community support services, housing, transportation issues, etc.) and system navigators

• Establishes and achieves measurable goals and productivity measures.

• Arrange referrals, screenings and test procedures, including for depression and other psychological needs as appropriate

• Analyzes data to identify under/over utilization; improve resource consumption; promotes potential reduction in cost and enhances quality of care consistent with organization strategic goals and objectives. Data includes but is not limited to predictive analytics, risk stratification, cost-benefit analysis, financial analysis, clinical outcomes; utilization and practice patterns.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Works collaboratively with team members on projects, continuous quality improvement, and team education.

• Works as a team member with emphasis on ensuring internal/external customer needs met.

• Attend educational conferences and training. Keep current with social work and health care developments and seek to increase job related knowledge.

• Attend and participate in staff, committee, department, and other administrative meetings.

• Participates in the on-call responsibilities for this position as required.

• Other duties as assigned.

For positions supported by PCCD through VOCA funds in cost center 7588 Lancaster County Children's Alliance Center, the incumbents will be working solely with VOCA eligible victims of crime.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• Bachelor’s degree in Social Services or related field.

• Two (2) years of social worker experience in the community health field.

• Excellent verbal and written communication skills.

• Excellent Customer service skills.

• Proven informal leadership skills.

• Ability to work independently, setting priorities to coordinate care plans efficiently.

• Ability to work effectively in a fast-paced team environment.

• Highly organized and detail-oriented with the ability to perform multiple tasks simultaneously.

• Effective behavioral and educational strategies, including, but not limited to: Motivational interviewing, teach-back method and self-management support.

• Related clinical training.

PREFERRED QUALIFICATIONS:

• Current BLS certification.

• One (1) to Two (2) years of social work experience in a medical facility/organization, home care, mental health organization or skilled nursing facility.

• Prior case management, project leader and team based experience.

• Experience performing in-home patient visits for assessment, education, training, coaching, etc.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

• 100% Tuition Assistance at The Pennsylvania College of Health Sciences

• Paid Time Off and Paid Holidays

• Shift, Weekend and On-Call Differentials

• Health, Dental and Vision Coverage

• Short-Term and Long-Term Disability

• Retirement Savings Account with Company Matching

• Child Care Subsidies

• Onsite Gym and Fitness Classes

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.