County of Santa Clara, California Jobs (2)

Inpatient Case Manager

County of Santa Clara, California Los Angeles, CA
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Description

Under limited direction, to assess, plan, coordinate, implement, facilitate, and monitor the delivery of required services, treatments, and resources for assigned patients of Santa Clara Valley Medical Center (SCVMC).

Only applicants who provide proof of current certification as a Registered Nurse by the State of California, Department of Health Services certificate attached to their application will be accepted.

All other applicants will be rejected.

COVID-19 Risk Tier Higher Risk Typical Tasks

  • Reviews and assesses assigned patients' medical and personal history, current status, psychological needs; diagnosis, prognosis, treatment plan and payer source;
  • Interviews patient, family, and / or caregivers regarding home environment and support, prior level of function, financial resources, social supports and other factors likely affect care and / or discharge plan;
  • Provides medical treatment education to patient, patient's family and other medical staff;
  • Reviews and assesses, on an ongoing basis, assigned patients' charts for adherence to treatment plans;
  • Acts as a liaison to and confers with staff of various disciplines to ensure completion of services and treatments with appropriate timeframes;
  • Secures and negotiates resources to ensure multiple health care needs are met;
  • Communicates with insurance companies and providers; prepares clinical documentation as required by payer source; justifies level of care and appeals denials for continued hospital stay, medical services, and dispositional services; provides coverage updates;
  • Identifies and resolves situations and barriers causing delays in service, treatment, or discharge; and utilizes creativity in developing solutions;
  • Intervenes when necessary to ensure the care provided is necessary and performed in a timely manner to avoid loss of revenue to the hospital and potential denial of payment by the provider;
  • Researches, communicates and recommends, when appropriate, alternative, more cost effective, service delivery;
  • Participates in interdisciplinary patient care conferences and patient team rounds;
  • Confers with appropriate individuals in other specialty areas regarding patient treatment and service aspects;
  • Documents patient progress;
  • Develops, evaluates, and coordinates a comprehensive discharge plan in conjunction with the patient / family, physicians, nursing staff, social services and other healthcare providers and agencies;
  • identifies potential difficulties in community reintegration where appropriate;
  • Coordinates and ensures procurement of required patient medical equipment and may train patient's support system in use;
  • Collaborates with other staff or assists with scheduling follow up care, as necessary;
  • Serves as member of various hospital committees;
  • Represents SCVMC in State hearing process for those patients refused admittance to a skilled nursing facility;
  • Researches criteria within utilization computer system in order to monitor inpatient level of care and to facilitate and assist doctor-to-doctor and peer-to-peer review between Hospital and health plan;
  • Keeps abreast of payer guidelines and specific licensure requirements;
  • Assists in the hiring process and training of new staff;
  • Participates in special project development and implementation;
  • May be assigned as a Disaster Service Worker, as required;
  • Performs other related duties as assigned.

Employment Standards

Sufficient education, training and experience to demonstrate possession and direct application of the following knowledge and abilities.

Training and Experience Note : The required knowledge and abilities are attained through two (2) years of full-time experience comparable to a Clinical Nurse II in the County of Santa Clara in an acute hospital setting.

Special Requirement :

Graduate of an approved nursing program and licensed as a Registered Nurse (RN) in the State of California prior to appointment.

Possession of a Bachelor of Science in Nursing (BSN) and / or current patient case management experience is desirable.

Knowledge of :

  • Medical terminology used in diagnosis, level of care, disease continuum, and treatment;
  • Patient evaluation, assessment and communication techniques;
  • Federal and State health care laws and regulations appropriate to the operation of California hospitals;
  • Care management delivery systems;
  • Various acute care hospital specialties;
  • Basic training techniques;
  • Financial processes for various private and public funding sources;
  • Private and governmental insurers and medical assistance programs;
  • Available alternative patient services and treatments;
  • Acute care hospital operations, organization, systems and service areas;
  • Record keeping and reporting procedures;
  • Computer systems that provide evidence-based clinical criteria and common office computer applications;
  • Various criteria for determining level of care and current standards in medical, therapy, and nursing practice.

Ability to :

  • Communicate orally and in writing in an effective, tactful, and assertive manner, including with distressed or emotional individuals;
  • Keep abreast of, understand, and interpret healthcare laws, regulations, and procedures;
  • Work independently and under pressure, meet deadlines, adapt to varying circumstances and use sound judgement in the performance of duties;
  • Develop and maintain effective working relationships with patients, families, peers, medical professionals, and all contacted in the course of work;
  • Reason logically and creatively, and utilize a variety of analytical techniques to resolve complex and specialized issues;
  • Educate and train others;
  • Perform research, evaluate data, and make recommendations;
  • Work effectively and in cooperation with other organizations, departments and personnel;
  • Keep abreast of current, available, alternative treatments and services;
  • Resolve complex interdisciplinary problems in an expeditious and effective manner.

Physical Requirements

Ability to work irregular hours, weekends, and holidays, as necessary.

Full-time
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Social Worker III - Social Service Agency - DAAS

County of Santa Clara, California Fresno, CA
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Description

Under general direction, provides skilled social work services to cases requiring maximum service, and involving a variety of complex social problems and treatment plans.

This list will be used to fill any current or future vacant positions in In-Home Supportive Services (IHSS), or, Adult Protective Services (APS) within the Social Services Agency, Department of Aging & Adult Services (DAAS).

Social Worker III's in these departments provide services to elder, disabled, and / or dependent adults.

In Adult Protective Services (APS) program, Social Worker III's may be assigned to receive, assess, and document reports of Elder or Dependent Adult abuse and neglect, investigate allegations, and document case-related activities.

The ability to apply critical thinking skills and to develop professional collaborative partnerships with multi-disciplinary teams, county and community programs and law enforcement agencies are highly desired.

A Master's Degree in Social Work is preferred for Social Worker III positions in APS.

Bilingual candidates and those with a cultural competency in serving persons with diverse backgrounds, including Latino, African and Asian Ancestry are encouraged to apply.

If you speak a second language fluently (i.e., Vietnamese, Mandarin, Russian, Spanish, etc.), please specify that on your application.

The ability to speak fluently (speak, read & write) in the chosen language will be tested. Candidate must take and pass the required language fluency examination (i.

e., ability to speak, read and write Spanish) for the specified language skill on your application (extended offer is contingent upon passing all pre-employment requisites - language certification and background check).

COVID 19 Level : High Risk

INDSSA

Typical Tasks

  • Receives assignments requiring specialized and / or intensive casework where cases are likely to involve emotional difficulties and chronic adjustment problems in departments;
  • Investigates allegations of abuse and neglect of dependent and elder adults when assigned to Adult Protective Services (APS);
  • investigates allegations of abuse and neglect of minors, often under time constrains, and determines if removal of the child from the home is necessary when assigned to DFCS;
  • Manages a caseload accountably;
  • Evaluates client problems, develops complete treatment plans and follows each case through to solution;
  • Develops case plans, court reports and associate legal documents;
  • Testifies in court and responds to inquiries regarding court action;
  • Conducts field visits and evaluates compliance with court orders;
  • Consults, refers cases, and works actively with other agencies and community groups, legal and medical professionals;
  • Establishes and maintains effective case work relationships;
  • Communicates effectively both verbally and in writing;
  • Prepares case records, documents, reports and correspondence in a timely manner, as required;
  • Interprets rules, regulations, policies and programs to clients and the public;
  • Acts as a resource specialist;
  • Knows and maintains listing of community resources and assists clients to utilize community resources;
  • May be required to testify in administrative hearings;
  • Knows and assists in developing community resources and uses them appropriately;
  • Transports clients in county, out of county, out of state and out of country if necessary;
  • Acts as a resource specialist;
  • May be assigned as a Disaster Services Worker, as required;
  • Performs related work as required.

When assigned to DFCS :

  • Determines degree of danger and risk of future abuse and neglect and evaluates child's and family's needs for services;
  • Recruits applicants for foster care and adoption;
  • Evaluates the suitability of adoptive and foster placements and finalizes adoptions.

Employment Standards

Possession of a Master's degree in Social Work preferred or possession of a Master's Degree in Behavioral Science, Counseling, Education Counseling, Gerontology, Marriage and Family Therapy, Nursing, Psychology, Social Psychology, Vocational Rehabilitation or equivalent titles to the above degree from an accredited college.

Three (3) years of social work experience of which two (2) years are equivalent to a Social Worker II in Santa Clara County.

Possession of a Master's Degree in Social Work, as a Title IVE student

Two (2) years of experience equivalent to the classification of a Social Worker II in Santa Clara County.

Master's degree in Social Work may be required by statute for certain positions.

Possession of a valid California driver's license prior to appointment and the ability to qualify for and maintain a County Driver's permit.

Knowledge of :

  • Differential casework treatment techniques;
  • Various personality and behavior theories;
  • Family systems;
  • Effect of one's own personal attitudes and biases on the casework process;
  • Principles, objective, methods and techniques of social work;
  • Individual and group behavior, child development, family relationships and dynamics;
  • Human growth and development;
  • Bio-psycho-socio-economic factors affecting individuals and families;
  • Interviewing, investigative and intervention techniques;
  • Effective methods for handling emotional, irate or distressed people;
  • Computer applications such as word processing, spreadsheet and / or database.
  • Community organization and resources;
  • Rules and regulations relating to public social service agencies and protective services for adults and children.

Ability to :

  • Apply comprehensive integrated knowledge of all phases of social work treatment for predictable results;
  • Use self with a very high level or skill in all professional relationships;
  • Engage the client in the problem solving process;
  • Establish and maintain an effective casework relationship with clients;
  • Work cooperatively with co-workers, other agencies and the public;
  • Receive and provide consultation;
  • Interpret complex laws and regulations to clients and the public;
  • Prepare and present written and oral reports;
  • Manage a caseload in a timely and effective manner;
  • Interprets complex laws and regulations to clients and public;
  • Interview effectively;
  • Work in an environment that requires knowledge of and respect for family's cultural values;
  • Assess and apply intervention techniques to adults, children, adolescents and / or families;
  • Utilize a wide range of social work techniques and community resources.
Full-time
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