Case Manager - MSW - PRN
About The Position
The Case Management Social Worker provides medical social work services to patients receiving hospital care. The role assesses each referred patient’s social, psychological, cultural, environmental, and financial circumstances and disposition needs. In collaboration with the RN Case Manager, patients, families, healthcare team members, and community agencies, the social worker develops and implements plans to address identified needs, evaluates their effectiveness, and revises them as needed. The position uses crisis intervention, problem-solving, community organization, and advocacy skills to identify needs and resources in the hospital and community. The position serves patients across the lifespan, from neonates through geriatric patients, and performs clinical duties according to population-specific guidelines and National Patient Safety Guidelines. It provides cross-coverage for social workers across care settings, including weekend rotation, remote coverage, and on-call schedules as required. Clinical practice must follow the NASW Code of Ethics.
Requirements
- Master’s degree in Social Work from an accredited School of Social Work.
- One year of experience in a hospital, agency, or institution providing related healthcare services is preferred.
- Strong clinical assessment, intervention, and counseling skills across child, adolescent, and adult age ranges.
- Social work assessment and counseling skills.
- Knowledge of state and federal programs that provide medical care and financial support, and knowledge of community resources.
- Ability to work with diverse patient and staff populations and individuals from varying cultural and socioeconomic backgrounds.
- Ability to work independently and collaboratively in group situations.
- Excellent communication skills and a positive attitude.
- Knowledge of Long Term Care regulations, financial eligibility, and admission criteria.
- Knowledge of adoption and surrogacy policies and regulations.
- Familiarity with current professional conduct and practice.
- Ability to develop creative and effective solutions and provide care suited to individualized patient needs.
Nice To Haves
- Social work licensure is preferred.
- CCM (Case Management Certification) or ACM (American Case Management Certification) is preferred.
- One year of experience in a hospital, agency, or institution providing related healthcare services is preferred.
Responsibilities
- Assess patients’ social, psychological, cultural, environmental, and financial circumstances and disposition needs using a family systems framework.
- Identify legal, financial, social, educational, and environmental factors that may affect medical care or discharge plans, and communicate critical information to the healthcare team.
- Assess and ensure appropriate reporting of suspected or actual child or adult abuse, neglect, or domestic violence.
- Assess psychiatric or substance-use disorders when requested and arrange or assist with referrals and interventions for treatment after discharge.
- Use SBIRT techniques to identify risky alcohol and other drug use and help prevent or reduce related health consequences, disease, accidents, and injuries.
- Coordinate timely discharge planning within the patient’s expected length of stay, advocate for patients, ensure Freedom of Choice and Medicare Important Message requirements, and attend multidisciplinary rounds.
- Coordinate referrals and placement in post-acute settings, review electronic records, discuss facility preferences with patients or families, obtain required signatures, complete DMA 6 when required, update relevant patient and insurance information, ensure discharge documentation is available, and arrange transportation.
- Assist patients with indigent medication applications and pharmacy assistance programs, and help patients and families access community resources, including homeless resources, for discharge to a lower level of care.
- Provide therapeutic support to patients and families, help them understand the medical plan of care and discharge plan, and facilitate support groups as needed or requested.
- Support case managers with difficult discharge placements and placement outside the United States for immigrants.
- Respond to calls, referrals, and consults within 24 hours; communicate respectfully, provide appropriate resources or manage calls satisfactorily, seek assistance when needed, and document actions taken.
- Participate in community-based, hospital, and system-wide committees and projects as encouraged.
- Work scheduled shifts, including weekend rotation, remote coverage, and on-call schedules.
