Case Manager/Discharge Planning, PRN (MSW or BSW)
About The Position
The Case Manager, Discharge (BSW) organizes and expedites treatment plans for medically complex patients and those with difficult social issues affecting hospital progression of care. The role identifies discharge needs, develops and documents discharge plans, promotes communication and collaborative coordination among care providers, and provides patients and families with information and education about community resources. The position coordinates care with clinical partners, assesses future care needs, and facilitates interdisciplinary care planning. It also provides intervention in child or elder abuse and neglect cases and guardianship matters, and serves as a resource for treatment decisions involving end-of-life care and Medical Power of Attorney. The role may use post-acute care facilities and contracted financial partners to support safe placement and discharge.
Requirements
- Bachelor’s degree in Social Work.
- At least one year of experience in social work.
- Experience with computer technology, including Windows-based programs, email, and Microsoft Word.
- Critical thinking and analytical skills.
- Ability to multitask, communicate effectively, and collaborate with a multidisciplinary team.
- Ability to cope with difficult situations.
- Ability to tolerate irregular hours, including evenings, nights, and weekends.
- Ability to meet the listed physical requirements, including lifting 35 pounds and pushing or pulling up to 20 pounds.
- Ability to wear appropriate personal protective equipment when required.
Nice To Haves
- Experience in a healthcare field.
- Case Management Certification is strongly desired.
Responsibilities
- Coordinate patient care with clinical partners and help patients progress toward realistic and desirable outcomes.
- Assess long-term and future patient care needs, including probable changes in independence or functional quality.
- Communicate treatment-plan activity status updates to clinical partners.
- Provide patients and families with information and education about community resources.
- Develop, coordinate, communicate, and document discharge plans for medically complex patients and difficult social situations.
- Collaborate with leadership to address discharge delays, barriers, and trends.
- Provide intervention in cases involving child or elder abuse or neglect and guardianship.
- Serve as a resource for treatment decisions related to end-of-life care and Medical Power of Attorney.
- Facilitate meetings and comprehensive care planning with the interdisciplinary team, and delegate work to support team members.
- Use post-acute care facilities to support safe and effective discharge planning.
- Collaborate with contracted financial partners to facilitate post-acute facility placement.
- Conduct psychosocial assessments as needed to develop appropriate discharge plans.
- Perform other duties as assigned.
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What This Job Offers
Career Level
Entry Level
