Social Work Care Manager Bachelor of Social Work

McLaren Health Care • Mount Pleasant, MI

8h

About The Position

Provides assessment and intervention to help clients and families address social and economic difficulties that interfere with health and wellness, using casework principles, strategies, and community resources. Provides professional discharge-planning services by assessing and coordinating post-hospital care needs and offering patients and families resources and choices to connect them with appropriate emotional, medical, and spiritual care. Receives referrals for individuals from at-risk populations from interdisciplinary team members.

Requirements

• Clinical Licensed Bachelor’s Social Worker.

Nice To Haves

• Clinical Licensed Master’s Social Worker.
• Discharge planning experience.
• At least three years of clinical experience in a hospital setting.

Responsibilities

• Assess assigned patients, focusing on complex psychosocial or financial issues and placement needs, on the next business day after admission.
• Identify barriers early in the patient's stay and develop a plan with the patient, family, healthcare team, payers, and community resources to address barriers to discharge.
• Assess patient and family support and community service needs; educate and refer them to community resources and services, and build rapport with other agencies.
• Assess readmission risk for specified patient populations and initiate interventions to support successful transitions across the care continuum.
• Identify the need for, arrange, and participate in family care conferences; participate in interdisciplinary conferences and consult with patients, families, and clinical staff.
• Use knowledge of insurance benefits and coverage guidelines to maximize appropriate use of resources.
• Document assessments, plans, interventions, barriers, and reassessments in the EMR to facilitate discharge and transitions; ensure pertinent information is transferred to post-acute agencies.
• Collaborate with the RN Care Manager/Supervisor and other healthcare team members to support a safe, appropriate, and timely transition to the next level of care, considering patient resources and preferences.
• Perform other related duties as required and directed.

What This Job Offers

• Job Type: Full-time