Case Manager - LCSW PRN Premium
About The Position
The Case Manager Social Services directs the utilization review of patient charts, treatment plans, and discharge planning related to quality of care and treatment criteria for patients in an assigned department. The role specializes in reviewing information specific to its assigned area, such as Case Management, Geriatrics, Mental and Behavioral Health, or Home Health, and applies education, experience, professional training, and judgment to fulfill responsibilities. The position allows a wide degree of creativity and latitude and works under minimal supervision. The Case Manager helps patients and caregivers navigate admission, transfer, treatment, and discharge. The role assesses patient and caregiver needs, develops and coordinates treatment plans, collaborates with providers, families, physicians, payors, and community services, and supports efficient use of hospital resources. It also contributes to program development, quality improvement, and compliance with hospital policies, safety standards, and regulatory requirements.
Requirements
- Some previous experience in social work.
- Master's degree.
- Current LCSW license.
Responsibilities
- Assist with patient admission, transfer, and discharge in a caring and compassionate manner.
- Conduct patient and caregiver assessments to identify immediate and long-term needs and recommendations.
- Use equipment, supplies, facilities, and resources prudently and efficiently.
- Serve as a liaison among hospital providers, families, patients or members, and physicians, helping resolve complaints with the patient's best interests in mind.
- Suggest program development and evaluate existing programs to improve performance and the quality and efficiency of health care services.
- Manage patient throughput and provide information about community resources.
- Coordinate post-discharge needs, including durable medical equipment, continuing care or services, Home Health services, and referrals to community support groups.
- Coordinate concurrent utilization review and liaise with payor sources, providing timely updates to support appropriate use of hospital resources.
- Develop and coordinate patient treatment plans based on assessments, family dynamics, and individual care needs.
- Develop cooperative relationships with community agencies and services to address patient needs and ensure treatment is relevant to the patient's circumstances.
- Support continuous quality improvement and ensure appropriate priority is given to quality management practices consistent with Joint Commission and other regulatory requirements.
- Follow departmental and hospital policies and procedures, including safety, quality assurance, and infection control standards.
- Maintain professional knowledge through relevant seminars, workshops, conferences, and professional affiliations.
- Perform other duties as assigned or requested.
