About The Position

The Care Manager (MSW) coordinates patients’ needs through the continuum of care, from pre-admission through post-discharge plans. This role collaborates with physicians, nurses, clinical staff, and community agencies to identify and arrange appropriate care. The Care Manager reviews clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans. The role may focus on specific aspects of Care Management such as discharge planning, utilization review, and/or providing psychosocial support. Additionally, the Care Manager may review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. The role may involve providing psychodynamic intervention and crisis counseling to support patients and families. The Care Manager educates patients and families on their healthcare options and connects them with resources. Pertinent patient issues, contacts, and plans are documented in the medical records. The position is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless, and mental health populations. Performs other duties as assigned.

Requirements

  • Master’s degree in Social Work (MSW) required.
  • One year of MSW experience in an acute healthcare setting preferred (for Care Manager MSW).
  • One year of MSW experience in community case management preferred (for Community Health).
  • Understanding of working with the low income and under-resourced community.
  • Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.

Nice To Haves

  • Bilingual or multilingual preferred.

Responsibilities

  • Coordinate patients’ needs through the continuum of care, from pre-admission through post-discharge plans.
  • Collaborate with physicians, nurses, clinical staff, and community agencies to identify and arrange appropriate care.
  • Review clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans.
  • Focus on specific aspects of Care Management like discharge planning, utilization review, and/or providing psychosocial support.
  • Review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing.
  • Provide psychodynamic intervention and crisis counseling to support patients and families.
  • Educate patients and families on their healthcare options and connect them with resources.
  • Document pertinent patient issues, contacts, and plans on the medical records.
  • Act as a mandated reporter for elder, child, and spousal abuse.
  • Provide Care Management support to high-risk, homeless, and mental health populations (Community Care role).
  • Perform other duties as assigned.
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