Social Worker - Care Manager - St. Rita's Medical Center
About The Position
The Social Worker Care Manager provides interventions and discharge planning services to patients and families, facilitating transitions across the continuum of care by accessing hospital, community, and governmental resources. The role also provides clinical supervision to peers, social workers, and students. The Social Worker Care Manager identifies patients’ social service needs using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors. In partnership with patients, caregivers, and the healthcare team, the role develops and updates plans to support quality, cost-effective care; documents patient needs and transition plans; and ensures patient and caregiver goals and preferences are included and communicated to the multidisciplinary team. The position follows standardized processes for advance care planning, length-of-stay management, and readmission prevention. It supports denial prevention and timely progression of care by addressing barriers, participating in interdisciplinary discharge rounds, promoting proactive care, and helping the team identify appropriate alternatives to acute care.
Requirements
- Bachelor of Social Work.
- BLS Basic Life Support certification from the American Heart Association.
- Licensure as a Social Worker in the state of practice.
- At least 1 year of experience in a clinical setting.
- Skills in social work care management, ethics, end-of-life ethics, patient advocacy, clinical supervision, and Microsoft Office.
- Ability to prioritize many simultaneous demands and tolerate frequent interruptions.
- Interpersonal skills including attention to detail, critical thinking, communication with family members, conflict resolution, active listening, relationship building, effective problem solving, teamwork, openness to change, collaboration, empathy, negotiation, time management, and prioritization.
Nice To Haves
- Master’s degree in social work or a healthcare-related field.
- Accredited Case Manager (ACM) certification from the American Case Management Association or Certified Case Manager (CCM) certification from the Commission for Case Manager Certification.
- Three years of experience in an acute care clinical setting.
- Ambulatory or post-acute care coordination experience.
Responsibilities
- Identify and prioritize patients in need of social services using a holistic assessment of biopsychosocial, functional, cultural, spiritual, and financial factors.
- Plan with patients, caregivers, and healthcare team members to maximize health care responses and achieve quality, cost-effective outcomes.
- Monitor and revise care plans when a patient’s condition changes.
- Complete necessary documentation and maintain clear, concise, and timely patient-record documentation reflecting needs, post-hospital care plans, available resources, and patient or caregiver involvement.
- Ensure patient and caregiver treatment goals and preferences are incorporated into transition-of-care planning and communicated to the multidisciplinary team.
- Follow standardized practices and processes for advance care planning, length-of-stay management, and readmission prevention.
- Support denial prevention related to medical necessity by addressing or removing barriers to progression of care and participating in interdisciplinary discharge rounds.
- Promote proactive care and help remove barriers to timely testing and treatment.
- Ensure appropriate resource utilization and offer alternatives to acute care to the care team.
- Provide clinical supervision to peers, social workers, and students.
Benefits
- Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
- Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
- Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
- Tuition assistance, professional development, and continuing education support.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
