Case Manager - MSW OR Registered Nurse - Part Time / Day Shift

Island Health Careers•Anacortes, WA

11d•Onsite

About The Position

Island Health is seeking an experienced Case Manager to join its Care Management team in Anacortes, Washington. As part of the interdisciplinary team, the Case Manager coordinates care, plans safe discharges, and supports appropriate utilization of hospital services to promote quality, cost-effective patient outcomes. The role involves collaboration with providers, patients, families, payors, and community agencies in a fast-paced hospital environment. The Case Manager assesses discharge needs and psychosocial concerns, coordinates referrals and placement, supports patient and family involvement in transition planning, and documents assessments, interventions, and plans. The position may also include medical record review for third-party payors and assessment of medical necessity using InterQual or other assigned guidelines. The posting describes the role as part-time, 0.8 FTE, with a day-shift schedule that includes weekends.

Requirements

One year of experience in hospital discharge planning, case management, and/or utilization management, or two years of experience as a social worker in a health care setting.
Master’s degree in social work from an authorized and approved program of study.
Licensure in good standing as a Social Worker or Mental Health Counselor issued by the Washington State Department of Health, or Counselor Agency Affiliated certification issued by the Washington State Department of Health, which must be maintained.
Strong verbal, written, and interpersonal communication skills.
Strong organizational skills and the ability to work independently or as part of an interdisciplinary team in a fast-paced environment.
Ability to organize, prioritize, and manage multiple tasks.
Ability to communicate effectively and in a timely manner with patients, families, providers, and the interdisciplinary team.
Ability to provide excellent customer service to stakeholders inside and outside the organization.
Knowledge of discharge planning, utilization review, CMS criteria related to patient status, and general payor reimbursement requirements.
Strong analysis and problem-solving skills.
Computer skills, including proficiency in keyboarding and data entry.
Critical-thinking skills and the ability to assess, evaluate, and teach.

Nice To Haves

Proficiency in Microsoft Office.

Responsibilities

Assess patients’ discharge needs and identify those at risk of post-hospitalization problems.
Coordinate and implement discharge plans with patients and interdisciplinary care team members.
Facilitate referrals to outside agencies and connect patients and families with appropriate resources.
Conduct psychosocial, chemical dependency, and mental health assessments, and identify appropriate interventions or referrals.
Provide guidance to the interdisciplinary care management team on complex psychosocial or discharge-planning issues and barriers, as needed.
Use knowledge of community services, resources, and facilities to support discharge planning.
Prioritize and manage a daily patient caseload, including initial and ongoing discharge assessments, readmission risk assessments, discharge planning, placement, and follow-up care needs.
Document discharge assessments, plans, utilization review, interventions, and follow-up care clearly, accurately, and promptly.
Communicate discharge plans and updates to patients, families, providers, and other appropriate stakeholders in a timely manner.
Collaborate with community resources and serve as a liaison between Care Management and agencies, as appropriate.
Perform initial and concurrent medical record reviews for third-party payors, as needed.
Review medical records for medical necessity of hospital admission and continued stay using InterQual or other assigned guidelines, as needed.
Educate and involve patients and families in transition planning and provide updates or changes throughout the hospital stay.
Contact and arrange placements with skilled nursing facilities, rehabilitation, long-term care, specialty care, and home health agencies.
Perform other duties as assigned, dependent on training and scope of practice.