Inpatient Care Manager - MSW

Schuylkill•Pottsville, PA

1d•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, with a focus on 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, manage resources, minimize unnecessary utilization, and support performance improvement initiatives.

Requirements

Master’s Degree in Social Work.
Less than 1 year of 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.
For colleagues working in New Jersey, an LSW or LCSW license is required upon hire.

Nice To Haves

Familiarity with EHRs, particularly EPIC.
ACM (Accredited Case Manager) certification from the American Case Management Association within 3 years, or CCM (Certified Case Manager) certification from the Commission for Case Manager Certification within 3 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, timely discharge planning, including post-acute authorizations, transportation, homecare, facility placements, and transfers.
Review patient progress daily, participate in multidisciplinary rounds, and identify and resolve discharge barriers.
Advocate for patients and families, address clinical, educational, and psychosocial needs, and ensure patient preferences are reflected throughout the care continuum.
Collaborate with multidisciplinary healthcare teams and involve patients and/or 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 for 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 and adherence to discharge care plans through in-person, telephone, and electronic engagement.
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 needed, or ensure identified external agencies have initiated them, and follow up with external services regarding applications.
Deliver required regulatory notices within established timelines, as applicable to the facility.