Thank you for considering a career at Bon Secours Mercy Health! RETAIN (Retaining Employment and Talent After Injury/Illness Network) is a grant funded joint initiative between Mercy Health, Ohio Department of Jobs and Family Services, the Department of Labor, and the Social Security Administration. RETAIN is a Stay at Work/Return to Work program. The RETAIN Social Worker provides clinical care management services to identified eligible patients, coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Works as a member of Interdisciplinary Team (IDT) along with the Ambulatory Care Manager (ACM) and Care Coordinator to ensure the assigned patient's individual needs are identified and addressed in a timely manner, Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. This position will be starting out on a PRN then changing to full time at the beginning of second quarter. Essential Job Functions Maintain a caseload of patients according to department policies. Identify, enroll and manage patients in program for Complex Case Management. Develop and implement care plans to maximize wellbeing with periodic review and update according to department protocols. Collaborate with ACM, PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan. Perform situational and family assessment of social determinants of care and develop goals as part of the comprehensive care plan. Perform patient outreach according to established protocols and document in electronic medical record. Identify, execute, and track needed referrals to care and community resources. Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, and right time. Document all communications with patient and/or care team in electronic medical record. Act as patient advocate to address primary physical and socioeconomic needs and link patient to appropriate community resources and services. Employment Qualifications Required Minimum Education: Bachelor's Degree Specialty/Major Social Work Preferred Education Master's Degree Specialty/Major Social Work Licensing/ Certification - Licensure/Certification Required Master's Degree or Licensure as required by state of practice Licensure/Certification Preferred Case Management certification, LSW or LCSW Minimum Qualifications Minimum Years and Type of Experience 2-3 years acute care, home health or case management experience Other Knowledge, Skills and Abilities Required Excellent interpersonal, communication, and negotiation skills. Strong analytical, data management, and computer skills. Demonstrate basic knowledge of healthcare and health education across the lifespan in a practice health setting. Ability to work with individuals, groups, and families. Extensive knowledge of Community Resources. Flexibility to work non- traditional hours. Works well in a Team Setting. Personal computer skills. Experience with database entry, EMR documentation, Power Point preferred and basic Excel skills. Highly organized and detail oriented. Accepts responsibility and follows through on projects and activities. Other Knowledge, Skills and Abilities Preferred Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting Bon Secours Mercy Health is an equal opportunity employer. We'll also reward your hard work with: - Comprehensive, affordable medical, dental and vision plans - Prescription drug coverage - Flexible spending accounts - Life insurance w/AD&D - An employer-matched 403(b) for those who qualify - Paid time off - Educational Assistance - And much more S* *cheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) Department: Retain - SS Strategy All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia , which are Affirmative Action and Equal Opportunity Employers, please email firstname.lastname@example.org. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at email@example.com .