Baptist Health Walker Hospital:  

Are you ready to advance your nursing career in a supportive, dynamic environment? At Baptist Health Walker Hospital, we offer a wide variety of opportunities tailored for new graduate RNs who are eager to learn, grow, and make a difference.

Apply today to connect with a recruiter and let us help you find your perfect fit!

Baptist Health Walker Hospital offers great NEW Competitive Pay and great benefits package that includes:

• Medical, Dental, Vision
• 403(b) Retirement Savings Plan 
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (Up to 5 weeks to start)
• Life Insurance 
• Extended Leave Plan (ELP) 
• Family Care (child care, elder care, pet care)
• Paid Parental Leave
• Pet Insurance 
• Car Insurance 
• Educational benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

 ALL benefits start day one

Recognized by The Joint Commission, Baptist Health Walker Hospital is a 267-bed facility located in Jasper and committed to serving the diverse needs of our growing community.  Among the comprehensive and compassionate services offered at Baptist Health Walker Hospital are bariatrics, behavioral health, cardiac care, emergency room care, gynecology, neurology, obstetrics, orthopedics, physical therapy, advanced stroke treatment, surgical care and urology. 

Position Summary
Collaborates with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management and preventative care services.

Essential Functions

Takes the lead in ensuring the continuity and consistency of care, across the continuum (inpatient, emergency and ambulatory care/ outpatient) to ensure integrated delivery across all settings to include the facilitation comprehensive discharge planning (in the hospital) and follow-up care (as an outpatient).

Develops an effective working relationship with the Patient and Family Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, to support and enhance their functional ability, while ensuring an appropriate and timely discharge plan.

Daily monitoring of progress towards discharge plans and/ or need to alter discharge plan due to change in patient condition and family needs with a priority placed on those patients at highest risk for complication/ admission/ readmission.

Educates patients/ families with chronic illness about evidence-based standards of care to include self-management strategies.

Identifies support needs for patients and their families, develops action plan(s), and provides creative guidance in initiating and overcoming any self-management strategies.

Educates patients and families about the health care system and facilitates relationship building between the various settings.

Ensures patients have access to prescriptions, durable medical equipment (DME), and other services as identified.

Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals and revising the care plan as indicated.

Advocates for patients in order to optimize their health care needs including but not limited to: safety, physical, legal and financial well-being.

Refers patients to education regarding the healthcare delivery and reimbursement systems, prescription drug programs, health & wellness programs, community agencies, public and private organizations, housing options, and other services, as appropriate.

Works with available IT resources (i.e. Phytel, Crimson) to facilitate registry reporting and maintenance of specified patient populations to improve disease outcome measures through evidence-based guidelines and the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders.

Participates in clinical outcome measurement to include the identification of strategies that promote population health.

Ensures patient safety in the performance of job functions to include the implementation of policies, procedures and standards to support the assigned duties.

Education/Training
A Master’s degree from an accredited graduate program in Social Work.  Care Coordinator, LCSW

Licensure/Certification
Maintains a Alabama license as a Licensed Clinical Social Worker (LCSW).

Experience
Three (3) years of direct clinical experience with an emphasis on the population to be served in the assigned area.