The best thing about this role Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Complex Clinical Care Coordinator LMSW Complex C3 supports the clinical Unit C3 and care team to address patients’ psychosocial needs. The Complex C3 maintains current knowledge of basic healthcare economics, trends and reimbursements methodologies and applies knowledge to daily practices. The Complex C3 recognizes situations that require immediate intervention and continues to develop professionally and apply knowledge and skills necessary to provide care appropriate to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and in various settings. Actively manages LOS for unit’s patients through partnership and collaboration with all members of the healthcare team. Receives referrals from Unit C3 for support with psychosocial issues. Completes comprehensive psychosocial assessments collaborating with Unit CCM and care team for management and interventions (substance abuse, guardianship, domestic violence, homeless, etc.). Assesses patients’ functional status, cognitive ability, support systems, available resources, and barriers to care to identify post-acute care needs. Coordinates patient family conferences, assists with management/support of patient/family issues. Helps family members and patients that are in need of further conversation regarding advance directive. Communicates discharge plan to patient and family as needed. Responsibilities for Relationships, Collaboration and Teamwork: Collaborates with other health care team members providing patient- centered care. Keeps Unit CCM informed of status, interventions, and plans to progress patient care to discharge. Works collaboratively with care team to coordinate patient discharge for complex cases as defined by facility criteria. Attends SNAP huddles to report progress with discharge plan and /or collaborates with Unit C3 before SNAP rounds. Provides community resource information as requested and facilitates or completes referrals as directed. Financial Responsibilities: Responsibly apportions resources. Assists with excessively long length of stay patients when discharge options have been exhausted. Coordinates Medication Assistance as requested. Performs similar or related duties as requested or directed What we need from you Education: Master's Degree in Social work, required Experience: Minimum one year experience in social work, preferred Minimum one year experience in an acute care setting, preferred Licensure/Certifications: NYS Licensure as a LMSW, LCSW or LCSW-R must be obtained within 6 months of hire date, required Case Management Certificate, preferred Skills: Analysis & Evaluation Attention to Detail Communication Computer Skills Conflict Resolution Physical Requirements: Light Work - Exerting up to 20 lbs of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg control requires exertion of forces greater than that of sedentary work and if the worker sits most of the time, the job is considered light work. Occasional fit testing Frequent standing, walking Constant typing/clerical/dexterity, hearing, seeing/monitor/computer use, talking Hazards: Occasional bodily fluid/bloodborne exposure Working Conditions: Occasional noise Travel: Occasional Travel - The job may require travel from time- to-time, but not on a regular basis Total Rewards Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include: Paid time off, including company holidays, vacation, and sick time Medical, dental and vision insurance Life insurance and disability protection Retirement benefits including an employer match And more! Specific benefit offerings may vary by location and/or position. This position may be eligible for a sign-on bonus! Details and eligibility requirements will be discussed during the interview process. Current employees of Bassett Healthcare Network are not eligible and are encouraged to apply through the internal job board. Pay Range Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Pay Range Minimum: USD $63,971.86/Yr. Pay Range Maximum: USD $95,957.79/Yr. We love the difference people bring We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.