Social Worker Care Manager - Southside Regional Medical Center
About The Position
The Social Worker Care Manager provides appropriate interventions and discharge planning services to patients and families, facilitating smooth 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 position uses a holistic approach to identify and prioritize patients needing social services, considering biopsychosocial, functional, cultural, spiritual, and financial factors. The Care Manager plans with patients, caregivers, and healthcare team members to support quality, cost-effective outcomes; monitors and revises plans as patient conditions change; and documents patient needs and care plans clearly, concisely, and promptly. Documentation addresses post-hospital care needs and resources, records patient and caregiver involvement, and reflects treatment goals and preferences communicated to the multidisciplinary team. The role follows standardized practices for advance care planning, length-of-stay management, and readmission prevention. It supports denial prevention by addressing barriers to care progression and participating in interdisciplinary discharge rounds. The Care Manager also promotes proactive care, helps remove barriers to timely testing and treatment, and supports appropriate resource use, including alternatives to acute care.
Requirements
- Bachelor of Social Work.
- BLS Basic Life Support certification from the American Heart Association.
- Social Worker license in the state of practice; licensure is preferred in Virginia.
- 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, problem solving, teamwork, collaboration, empathy, negotiation, time management, prioritization, and openness to change.
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.
- At least 3 years of experience in an acute care clinical setting.
- Ambulatory or post-acute care coordination experience.
Responsibilities
- Identify and prioritize patients needing social services using a holistic assessment of biopsychosocial, functional, cultural, spiritual, and financial factors.
- Plan with patients, caregivers, and healthcare team members to maximize healthcare 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 of patient needs.
- Document post-hospital care needs and resources, patient or caregiver involvement, and treatment goals and preferences in transition-of-care plans; communicate these to the multidisciplinary team.
- Follow standardized practices 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 patient care and help remove barriers to timely testing and treatment.
- Support 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.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
