Inpatient Care Manager-MSW (Full-Time/Day) Center City

Jefferson Health Plans•Philadelphia, PA
•Onsite

About The Position

The Inpatient Care Manager-MSW coordinates comprehensive care for a designated patient population across the continuum of care. The role assesses, plans, implements, and evaluates individualized care plans and supports safe, timely discharge planning. Serving as a clinician, care manager, and educator, the position collaborates with the interdisciplinary team to achieve high-quality, cost-effective outcomes, manage resources, reduce unnecessary utilization, and support performance improvement initiatives. The position works with patients, families, and multidisciplinary teams to assess care needs, coordinate transitions and discharge arrangements, address barriers to care, and connect patients with appropriate services and resources. It also supports patient and family education and self-management, coordinates authorizations and referrals, and helps resolve medical-necessity issues. The position maintains knowledge of payer systems and delivers required regulatory notices within established timelines.

Requirements

  • Master’s degree in Social Work.
  • Less than one year of experience in an MSW internship program.
  • Ability to incorporate strategies for interacting with people from diverse backgrounds.
  • Ability to set priorities and coordinate care plans efficiently.
  • Knowledge of computer applications and analytical tools.
  • Proven leadership skills.
  • For colleagues working in New Jersey: hold an LSW or LCSW license upon hire.

Nice To Haves

  • Familiarity with EHRs, particularly EPIC.
  • ACM (Accredited Case Manager) certification from the American Case Management Association within three years, or CCM (Certified Case Manager) certification from the Commission for Case Manager Certification within three years.

Responsibilities

  • Conduct comprehensive assessments at patient entry to determine anticipated length of stay, discharge needs, and resources; develop and implement individualized care and transition plans with the multidisciplinary team.
  • Coordinate safe and timely discharge planning, including post-acute authorizations, transportation, homecare, facility placements, and transfers.
  • Review patient progress daily, participate in multidisciplinary rounds, and proactively identify and resolve barriers to discharge.
  • Advocate for patients and families, address clinical, educational, and psychosocial needs, and ensure patient preferences are reflected across the continuum of care.
  • Collaborate with multidisciplinary healthcare teams and involve patients and families in developing and implementing care plans; coordinate team or family conferences as needed.
  • Refer patients and significant others to community-based services and resources to meet continuum-of-care needs.
  • Maintain knowledge of Medicare, Medicaid, and other payer benefits, reimbursement methodologies, and conditions of participation.
  • Educate patients and families about self-management through in-person, telephone, and electronic engagement, and encourage adherence to discharge care plans.
  • Communicate with physicians, patients, families, and team members to facilitate referrals and authorizations, resolve medical-necessity issues, and coordinate transitions and discharge planning.
  • Initiate medical assistance applications when necessary, or ensure identified external agencies have initiated them, and follow up with the relevant external service.
  • Deliver required regulatory notices within established timelines, as applicable to the facility.

Benefits

  • Medical insurance, including prescription coverage
  • Supplemental insurance
  • Dental insurance
  • Vision insurance
  • Life and AD&D insurance
  • Short- and long-term disability insurance
  • Flexible spending accounts
  • Retirement plans
  • Tuition assistance
  • Voluntary benefits, including access to group insurance rates and discounts
  • Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
  • Medical insurance, including prescription coverage, is available to colleagues working less than part-time, including per diem colleagues, adjunct faculty, and Jeff Temps
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