Social Work Care Coordinator

Newport News, Virginia

Overview

Works under the supervision of the Manager / Director and is responsible for working in collaboration with the healthcare team to coordinate the care and service to patients across the continuum of care, promotes effective utilization and monitoring of healthcare resources and assumes a leadership role with the interdisciplinary team to achieve optimal quality, clinical and resource outcomes. Works under the direction of the leadership team to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans.

What you will do

• Demonstrates the ability to build trusting, collaborative relationships staff, peers, physicians and other disciplines / ancillary services. In addition, capable of completing the problem solving cycle from identification to problem resolution so as to maximize opportunity or minimize problem. Demonstrates behaviors that reflect “commitment to my co-worker”.
• Completes the discharge planning process to coincide with the patient's readiness for discharge. Admission assessment w / readmission assessment completed at admission and during reassessment.
• Performs standard work that focuses on disease specific interventions for improved outcomes based on evidence based criteria. Communicates discharge plan of care and any changes in the plan to patient, family, and all other appropriate healthcare professionals.
• Seeks to attain knowledge and competency that reflects current understanding of clinical practice, guidelines and measures promoting the mission, vision and values of RHS.
• Provide timely assessment and evaluation of individualized plans of care that are interdisciplinary and communicated through continuum. Applies standard work for improved quality and safe transitions.
• Assists co-workers, physicians and team members, with the care of their customers; addresses customer’s needs regardless of assignment. Assists others to complete tasks when necessary. Strives to meet / exceed the needs of the facility's customers / patients demonstrating behaviors characteristic of the "RESPECT" program.

Qualifications

Education

Experience

Licenses and Certifications

To learn more about being a team member with Riverside Health System visit us at .