Social Work MSW Case Manager

Hendricks Regional Health • Danville, IN

5d • Onsite

About The Position

The case manager promotes patients’ social and emotional functioning and helps them use health care and other services to support wellness and achieve optimal health. The role recognizes that psychosocial factors influence illness and recovery. Through patient-centered assessments, post-acute service coordination, and collaboration with patients, loved ones, interdisciplinary teams, and community resources, the case manager supports safe transitions from the hospital, reduces avoidable costs and readmissions, and improves patients’ quality of life.

The position works across a variety of hospital settings, including the Emergency Department, inpatient units, CBC, ICU, outpatient areas, and other hospital locations, and requires travel between facilities. Responsibilities include complex discharge planning and care coordination, psychosocial and behavioral health assessment, crisis intervention, resource referrals, advocacy, and support for patients and families. The role also provides psychiatric consultation to Hendricks Regional Health Emergency Rooms and Medical/Surgical Units and serves as a point person for protective issues such as abuse and neglect.

Requirements

• Master of Social Work 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.
• Ability to travel between facilities.

Nice To Haves

• Behavioral health experience.

Responsibilities

• Screen patients for discharge needs and evaluate, develop, and implement discharge plans, with emphasis on patients with complex needs.
• Reassess discharge plans and monitor changes in patient condition.
• Advocate for patients with support persons and the healthcare team when needed.
• Intervene and provide support for family stress and emotional needs related to healthcare decisions.
• Provide crisis intervention and support for adjustment to illness and bereavement.
• Broker access to post-acute resources and services, including skilled nursing facilities, home care, hospice, infusion, LTAC, and DME.
• Promote system integration, continuity of care, and interdisciplinary collaboration.
• Address adoption-related matters.
• Make follow-up calls according to the Transitions of Care Discharge Policy; assess patient needs by phone and apply 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.
• Assess readmissions and identify trends.
• Provide Medicare Notification Letters.
• Help resolve financial concerns by linking patients to eligible programs and hospital assistance programs.
• Assess abuse, including adult, child, sexual, and domestic violence, and make referrals.
• 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 related to the department’s scope, 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 execution and completion of Emergency Detention Orders, ensuring legal accuracy.
• Perform duties in varied settings, including the Emergency Department, inpatient units, CBC, ICU, outpatient areas, and other hospital locations.
• 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.

What This Job Offers

• Job Type: Full-time