Case Manager - LCSW PRN Premium

FMOLHS•Baton Rouge, LA

About The Position

The Case Manager Social Services directs utilization review of patient charts and treatment plans to assess care quality and treatment criteria for patients in an assigned department. The role reviews information specific to its assigned area, such as Case Management, Geriatrics, Mental & Behavioral Health, or Home Health. It relies on education, experience, professional training, and judgment, with considerable latitude and minimal supervision. The Case Manager supports patient admission, transfer, and discharge; assesses patient and caregiver needs; coordinates care and discharge planning; collaborates with providers, families, patients, physicians, payors, and community services; and contributes to quality improvement and efficient health care delivery. The role follows hospital policies and safety, quality assurance, and infection control standards, and maintains professional knowledge through relevant learning and affiliations.

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.
Assess patients and caregivers to identify immediate and long-term needs and make recommendations sensitive to patient health and well-being.
Use equipment, supplies, facilities, and resources prudently and efficiently.
Serve as a liaison among hospital providers, families, patients or members, and physicians, working to resolve complaints in the patient's best interests.
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 ordering durable medical equipment, arranging continuation of care or services and Home Health services, and making community support referrals.
Coordinate concurrent utilization review, liaise with payors, and provide timely updates to support appropriate use of hospital resources.
Develop and coordinate patient treatment plans based on assessment, family dynamics, and individual care needs.
Develop cooperative agreements with community agencies and services to meet patient needs and ensure treatment is relevant to the patient's problems.
Support continuous quality improvement and ensure quality management practices align with Joint Commission and other regulatory requirements.
Follow departmental and hospital policies and procedures, including safety, quality assurance, and infection control standards.
Maintain current expertise through relevant seminars, workshops, professional conferences, and professional organization affiliations.
Perform other duties as assigned or requested.