Social Worker - PCCN

Position Details

Department: PCH-MAIN | Phx Children's Care Network
Category: PCCN
Location: Phoenix
Employee Type: Regular
Posting #: 456988
Posted On: 6/11/2019

Position Summary

Care coordination is the deliberate organization of patient care activities to facilitate the appropriate delivery of health care services. This position provides comprehensive outpatient support for patients as assigned and uses bio-psychosocial assessments to develop patients plan of care. Develops, implements, monitors and documents the utilization of resources and progress of the patients care through advocating and facilitating options and services to meet the patients behavioral and health care needs. This position builds relationships with community partners and catalogs available resources to meet the needs of our patients and their families. This position may report to the Care Coordination Manager, the RN Care Manager Team Supervisor or Social Worker Team Supervisor.

Position Duties

  1. Psychosocial Assessments
    • a) Assesses the patients biopsychosocial status, which may include, but is not limited to, available financial and community resources, parents / patients comprehension of medical conditions, mental health status, available support systems, safety issues, risk for abuse/neglect, suicide risk assessment, coping skills, cognitive abilities, etc. as requested by Case Manager or as determined by the Social Worker's professional judgment.
    • b) Identify any barriers that impede treatment and/or recovery, provide information to the Interdisciplinary Care Team, and participate in proactive care planning.
    • c) Identify resources to address family needs or care barriers to promote patient safety and well being, as well as optimize parent involvement in the patients care plan.
  2. Documentation and Communication
    • a) Completes clinical record documentation as required by departmental procedures in a timely manner.
    • b) Cultivates and maintains effective interaction/communication with members of the interdisciplinary clinical care team and proactively engages patients and families in care coordination across the continuum of care.
    • c) Participates in organizational and departmental operational initiatives to improve care delivery methods.
  3. Care Coordination
    • a) Assists in development, implementation and revision of individual care plans in a manner that promotes sound financial stewardship and patient-family advocacy.
    • b) Provides education regarding medical compliance, crisis intervention, support groups, etc.
    • c) Identifies potential risk factors and barriers to care. Proactively collaborates with members of the interdisciplinary clinical care team to identify needs and documents a clear and comprehensive care plan to address risk factors and barriers to care.
    • d) Assures proper care transitions by collaborating with hospital staff, PCCN physicians/providers, payers, referral coordinators, and various community services.
    • e) Facilitates referrals and assistance to assist with timely access to providers. Monitors for appropriate follow-up.
    • f) Advises families on available resources and programs through the educational system, such as 504s and IEPs and advocates on behalf of patients and families when necessary.
  4. Education
    • a) Maintains professional competency by regularly participating in a variety of educational programs and in-services, reviewing relevant professional publications, participating in community based committees related to service line responsibilities, and/or participating in professional societies to ensure ongoing awareness of current methodologies, practices and philosophies as applied to the patient care population.
    • b) Maintains current knowledge of community and other resource networks to meet patient and family needs, to provide relevant resources, and to assist as necessary, with connecting the patient/family to the relevant resources.
  5. Customer Service
    • a) Provides excellent customer service routinely in interactions with all customers, i.e. coworkers, patients, families, health plans, physicians, etc.
    • b) Responds to email within 24 hours or one business day.
  6. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

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