Kettering Health Main Campus l Kettering l Full-time l Days

Responsibilities & Requirements

Responsibilities:

• Assist the care team by providing leadership in supporting and facilitating coordinated care delivery to patients
• Proactively identify and eliminate barriers to discharge
• Collaborating with the care team to ensure planning for appropriate post-acute care plan and back-up plan.

Specific job functions will vary based on assigned area but would include items such as:

• Coordinate services for all patients assigned prioritizing moderate and high risk patients with serious, complex or chronic health problems or with psychosocial issues.
• Provide advocacy, information and referral services to patients and families to address their psychosocial needs.
• Assists all patients through the healthcare system by acting as a patient advocate and navigator.
• Promotes clear communication with the care coordination team and caregivers, ensuring awareness regarding patient care coordination plan related to transitions of care.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to organization goals for length of stay, readmissions and patient experience.

Preferred Qualifications

Job Qualifications:

• Masters of Social Work or related field required
• Current Ohio Social Work license required.
• Clinical experience in health care setting
• Awareness of developmental needs over the age span of infant to elder required.
• Ability to work well in multidisciplinary and independent settings and communicate well (verbal and written)
• Ability to coordinate work effectively with other hospital disciplines.
• Ability to recognize and understand the dynamics of individuals from diverse populations.
• Ability to solve problems through the analysis of information.