PRN MSW Case Manager
About The Position
The Case Manager promotes patients’ social and emotional functioning and supports their appropriate use of health care and other services to achieve optimal health. The role recognizes the influence of psychosocial factors on illness and recovery. Through patient-centered assessment, discharge planning, and coordination of post-acute services, the Case Manager identifies factors that may affect a safe and effective transition from the hospital. The position collaborates with patients, loved ones, the interdisciplinary team, and community resources to support continuity of care, reduce readmissions and costs, and improve patients’ quality of life. The Case Manager works across a variety of hospital settings, including the Emergency Department, inpatient units, CBC, ICU, outpatient areas, and other hospital locations, and travels between facilities. The position also provides psychiatric consultation to Hendricks Regional Health Emergency Rooms and Medical/Surgical Units.
Requirements
- Master of Social Work (M.S.W.) degree from a school with an accredited social work program.
- Either an educational emphasis on health care, including a field placement in a hospital social service department or other health care agency, or previous work experience in a hospital social service department or other health care setting.
- Valid and active Indiana Social Work licensure.
Nice To Haves
- Behavioral health experience.
Responsibilities
- Screen, evaluate, develop, and implement discharge plans, with a focus on patients with complex needs.
- Reassess discharge plans and monitor for changes in patient condition.
- Advocate for patients with support persons and the healthcare team as needed.
- Provide interventions and support for family stress and emotional needs related to healthcare decisions.
- Provide crisis intervention and support related to illness adjustment and bereavement.
- Broker post-acute resources, including skilled nursing facilities, home care, hospice, infusion, LTAC, and durable medical equipment.
- Support system integration, continuity of care, and interdisciplinary collaboration.
- Address adoption-related matters.
- Conduct follow-up calls under the Transitions of Care Discharge Policy, assess patient care needs by phone, and apply appropriate interventions.
- Provide resources before or after admission to facilitate effective discharge planning as patient needs change or emerge.
- Conduct chemical dependency and mental health assessments and refer patients to treatment.
- Conduct readmission assessments and trend readmission information.
- Provide Medicare Notification Letters.
- Assist in resolving financial concerns, including connecting patients with eligible programs and hospital assistance programs.
- Assess abuse, including adult, child, sexual, and domestic violence, and make referrals.
- Assess Social Determinants of Health and assist individuals in accessing government programs and social services.
- Provide information about and assist with the execution of advance directives.
- Participate in departmental, hospital, and community meetings and initiatives related to the department’s scope, as assigned.
- Complete psychosocial assessments for patients with medical, behavioral health, and substance use needs to develop appropriate treatment or crisis plans.
- Provide crisis intervention and support services to psychiatric patients of all ages.
- Assist with executing and completing Emergency Detention Orders and ensure legal accuracy.
- Perform duties in varied hospital settings, including the Emergency Department, inpatient units, CBC, ICU, outpatient areas, and other hospital areas.
- Travel between facilities as required.
- Provide psychiatric consultation to Hendricks Regional Health Emergency Rooms and Medical/Surgical Units.
- Serve as the point person for cases involving child abuse or neglect, elder abuse or neglect, domestic violence, and other protective issues.
- Interpret and communicate complex patient and family needs and serve as a role model for caring practices.
- Support complex discharge planning and coordination of care transitions.
- Collaborate with healthcare team members to facilitate safe, timely, and effective care and discharge planning.
- Perform other tasks as assigned.
