Lead Case Manager

WVU Medicine•Morgantown, WV

About The Position

This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department.

Requirements

Bachelor’s Degree in Social Work or related field.
Three (3) years of experience in Social Work setting providing social services or case management.
Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services.
Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals.
Must be knowledgeable and able to access many different types of services.
Must have the ability to assess and treat individuals with behavioral health and mental illnesses.

Nice To Haves

Current West Virginia Social Work licensure.
Master's in Public Health, Population Health, or Related degree

Responsibilities

Facilitates referrals of patients to providers.
Provide day-to-day oversight of case management staff assignments and tasks
Takes crisis calls and works outcomes for patients.
Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse.
Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
Participate in multi-disciplinary health care teams.
Maintain working knowledge of and liaison with community agencies and resources.
Arrange, procure, and coordinate patient/family pre and post hospital needs.
Knowledge of hospital, medical center and/or health system resources to access and provide for patient care needs.
Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
Assisting in obtaining prior authorizations from third party carriers.
Working with the CRC Inpatient units in securing beds for admission.
Preparing or assisting in the preparation of discharge letters.
Maintaining and updating group listings.
Scheduling of MRI’s, PET’s, etc.
Works with discharge planners and consult team to secure appointments.
Schedules new patient visits per established protocols.
Meets with patients face to face as needed to resolve crisis situations.
Assists Residents/front desk staff with resolving scheduling problems.
Covers in-basket messages for providers that are out of the office.