Inpatient Care Manager - MSW

Schuylkill•Pottsville, 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 while ensuring safe and 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. It also manages resources to minimize unnecessary utilization and supports performance improvement initiatives that enhance patient care and system efficiency. The position is onsite at Lehigh Valley Hospital- Schuylkill, 700 E Norwegian St. The work schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with rotations of holidays and weekends and on-call responsibilities. The work shift is day shift.

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, an LSW or LCSW license is required upon hire.
  • Ability to lift and carry 25 pounds; frequent sitting, standing, and keyboard use. Patient care providers may need to kneel, bend, squat, and perform CPR.

Nice To Haves

  • Familiarity with EHRs, including 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 when needed.
  • Monitor and manage patient progress through daily review and multidisciplinary rounds; identify and resolve discharge barriers.
  • Advocate for patients and families, address clinical, educational, and psychosocial needs, and ensure patient preferences are reflected across the care continuum.
  • Collaborate with multidisciplinary healthcare teams and support patients and families in developing and implementing plans.
  • Coordinate team and/or family conferences when needed to facilitate patient care progression.
  • 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 to support 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, authorizations, resolve medical necessity issues, and coordinate transitions and discharge planning.
  • Initiate medical assistance applications when necessary, or ensure external agencies have initiated them, and follow up with the identified external service.
  • Deliver required regulatory notices within established timeframes, as applicable to the facility.
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