Inpatient Care Manager - MSW

Lehigh Valley Health Network•Allentown, PA

1d•Onsite

About The Position

The Inpatient Care Manager-MSW applies expertise to coordinate comprehensive care for a designated patient population across the continuum of care. This role involves assessing, planning, implementing, and evaluating individualized care plans while ensuring safe and timely discharge planning. The Inpatient Care Manager - MSW serves as a clinician, care manager, and educator, collaborating with the interdisciplinary team to achieve high-quality, cost-effective outcomes. Additionally, the individual actively manages resources to minimize unnecessary utilization and supports performance improvement initiatives to enhance patient care and system efficiency.

Requirements

Master’s Degree in Social Work.
Less than 1 year experience In an MSW internship program.
Ability to incorporate strategies for interacting with persons from diverse backgrounds.
Ability to set priorities to coordinate care plans efficiently
Knowledge of computer applications and analytical tools.
Proven leadership skills.
Colleague's working in the state of New Jersey only, are required to hold one of the following licenses upon hire: LSW or LCSW.

Nice To Haves

Familiar with EHRs: EPIC.
ACM - Accredited Case Manager - American Case Management Association within 3 Years or
CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years

Responsibilities

Conducts comprehensive assessments at the patient entry to determine anticipated length of stay, discharge needs, and resources; develops and implements individualized plans of care and transition plans in collaboration with the multidisciplinary team.
Coordinates safe and timely discharge planning, including securing post-acute authorizations, arranging transportation, homecare, and facility placements, and facilitating transfers when needed.
Monitors and manages patient progress through daily review, participating in multidisciplinary rounds, initiative-taking identification and resolution of barriers to discharge.
Advocates for patients and families, addresses clinical, educational, and psychosocial needs while ensuring their preferences are reflected throughout the care continuum.
Collaborates with multidisciplinary healthcare teams and provides the patient and/or family in the development and implementation of plans. Coordinates team and/or family conferences when necessary to facilitate patient’s care progression. Refers patient/significant other to community-based services/resources to meet patient’s continuum of care needs.
Develops and maintains knowledge of Medicare, Medicaid, and key payer benefits and reimbursement methodologies.
Assists patients/families with self-management through education via in person visits, telephonic and electronic engagement and encourages and supports patient adherence to their discharge care plans.
Communicates effectively with physicians, patients, families, and team members to facilitate referrals, authorizations, and resolution of medical necessity issues and coordination of transition and discharge planning.
When necessary, initiates medical assistance application in a timely manner, as needed, or ensure medical assistance application has been initiated by identified external agencies, as needed. Follows up with identified external service regarding application.
Maintains current knowledge of Medicare, Medicaid, and other payer systems, including benefits, reimbursement methodologies, and conditions of participation.
Delivers required regulatory notices, within established times (as applicable to facility).