MUSCP - Dementia Social Worker - Charleston

Dementia Care Navigator Job Duties: 

Clinical Evaluation 35%: 

• Assess the health status of patients through history taking, identify normal, and abnormal findings. 

• Help develop individualized care plans based on assessed needs, including medical management, 

• Behavioral support strategies, and community resource utilization. 

• Implement communication strategies for persons with dementia and their caregivers. 

• Facilitate referrals by obtaining clinical information and ensure the information is properly processed though corresponding departments. 

Care Coordination and Monitoring 30%: 

• Review upcoming appointments in Epic, including those for Telehealth clinics, to ensure necessary services are arranged before the appointment. 

• Ensure all testing and referrals are complete and necessary items addressed with the provider. 

• Evaluate all patient test results, such as imaging and lab work, with GUIDE providers and execute the care plans discussed. 

• Coordinate with referring physicians' offices to meet the needs of both patients and physicians. 

• Provide comprehensive education on dementia symptoms, disease progression, treatment options, coping strategies, and caregiver support to patients and families, resulting in increased understanding and improved outcomes. 

Communication and Collaboration 35%: 

• Serve as primary clinical contact for GUIDE patients and their caregivers regarding scheduling of testing and appointments. 

• Serve as the liaison between the GUIDE clinical team and referring physicians. 

• Provide emotional support and counseling tailored to the patient's clinical situation. 

• Communicate with external case management and social services to ensure patients have access to individualized community support services. 

• Assist in the development and facilitation of patient and caregiver programming, including support groups, educational classes, and seminars 

MUSC GUIDE Program Dementia Care Nurse Navigator Position Description 

This is a fulltime position that will be performed during normal business hours Monday-Friday on location. Flexibility in hours and location (e.g., hybrid - work from home) to accommodate the candidates schedule may be possible if they do not interfere with GUIDE operations. 

Core Requirements: 

• Licensed Master of Social Work preferred 

• Experience working with Alzheimer's disease patients and their families is strongly preferred.  

• Fluent in English 

• Experience in medical practice and knowledge of medical terminology is required 

• Experience with care coordination/case management is helpful 

• Fluent in English 

• Proficient in use of EPIC and Microsoft Office preferred 

• Knowledge of CPT codes, medical billing, and diagnosis coding helpful