About The Position

The Care Manager (MSW) coordinates patients’ needs through the continuum of care, from pre-admission through post-discharge plans. This role works in collaboration with physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. The role involves reviewing clinician assessments and patients’ financial, family, and psychosocial support to develop comprehensive care and/or discharge plans. It may focus more heavily on specific aspects of Care Management such as discharge planning, utilization review, and/or providing psychosocial support. The Care Manager may review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. They may provide psychodynamic intervention and crisis counseling to support patients and families, and educate patients and families on their healthcare options, connecting them with resources. Documentation of pertinent patient issues, contacts, and plans on the medical records is required. The role includes being 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. Other duties as assigned.

Requirements

  • Master of Social Work (MSW) degree.
  • Experience in care management.
  • Ability to collaborate with physicians, nurses, clinical staff, and community agencies.
  • Proficiency in developing comprehensive care and/or discharge plans.
  • Knowledge of utilization review and psychosocial support.
  • Ability to assess admission status, level of care, and payer source.
  • Skills in providing psychodynamic intervention and crisis counseling.
  • Ability to educate patients and families on healthcare options and resources.
  • Proficiency in documenting patient information on medical records.
  • Understanding of mandated reporting laws for elder, child, and spousal abuse.
  • Experience supporting high-risk, homeless, and mental health populations.

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 for 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 population.
  • Perform other duties as assigned.
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