Social Work MSW Case Manager

Hendricks Regional Health • Danville, IN

4d • Onsite

About The Position

The Case Manager promotes patients’ optimal social and emotional functioning and supports their appropriate use of health care and other services to achieve their optimal level of health. The role recognizes how psychosocial factors and illness can affect recovery. Through patient-centered assessments 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, interdisciplinary teams, and community resources to support continuity of care, reduce readmissions and costs, and improve patients’ quality of life.

The role supports discharge planning and care transitions for patients with complex medical, behavioral health, and social needs. It also provides psychosocial assessment, crisis intervention, psychiatric consultation, advocacy, and referrals to community and treatment resources. Work may take place in the Emergency Department, inpatient units, CBC, ICU, outpatient areas, and other hospital settings, with travel between facilities required.

Requirements

• Master of Social Work degree (M.S.W.) from a school with an accredited social work program.
• Either 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.
• Ability to assess patient care needs by phone and apply appropriate interventions.
• Ability to understand how government programs and social service agencies are organized and help individuals access their services.
• Ability to assist with Emergency Detention Orders while ensuring legal accuracy.

Nice To Haves

• Behavioral health experience.

Responsibilities

• Screen, evaluate, develop, implement, and reassess discharge plans, particularly for patients with complex needs; monitor for changes in condition.
• Advocate for patients with support persons and the healthcare team when needed.
• Support patients and families experiencing stress or emotional needs related to healthcare decisions, illness adjustment, crisis, and bereavement.
• Coordinate post-acute resources, including skilled nursing facilities, home care, hospice, infusion services, long-term acute care, and durable medical equipment.
• Promote system integration, continuity of care, and interdisciplinary collaboration.
• Conduct follow-up calls in accordance with the Transitions of Care Discharge Policy, assess care needs by phone, and provide appropriate interventions.
• Provide resources before or after admission to support effective discharge planning as care needs change.
• Assess chemical dependency and mental health needs and refer patients to treatment.
• Assess readmissions and track trends.
• Provide Medicare notification letters.
• Assist with financial concerns by connecting patients with eligible programs and hospital assistance programs.
• Assess abuse, including adult, child, sexual, and domestic violence, and make referrals; serve as the point person for cases involving abuse, neglect, domestic violence, and other protective issues.
• Assess Social Determinants of Health and help individuals access government programs and social service agencies.
• Provide information about and assist with the execution of advance directives.
• Participate in departmental, hospital, and community meetings and initiatives as assigned.
• Complete psychosocial assessments for patients with medical, behavioral health, or substance use needs and develop appropriate treatment or crisis plans.
• Provide crisis intervention and support services to psychiatric patients of all ages.
• Assist with the execution and completion of Emergency Detention Orders, ensuring legal accuracy.
• Work in a variety of hospital settings, including the Emergency Department, inpatient units, CBC, ICU, and outpatient areas; travel between facilities as required.
• Provide psychiatric consultation to Hendricks Regional Health Emergency Rooms and Medical/Surgical Units.
• Interpret and communicate complex patient and family needs and model caring practices.
• Support complex discharge planning and coordination of care transitions to facilitate safe, timely, and effective care.
• Perform other tasks as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level