Social Worker Care Manager - Rehabilitation Case Management - Roper Hospital - PRN

Roper St. Francis Healthcare • Charleston, SC

3d • Onsite

About The Position

The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families. They facilitate a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. Additionally, they provide clinical supervision to peers, Social Workers, and students.

Requirements

• BLS Basic Life Support – American Heart Association (required)
• Licensed as a Social Worker in state of practice (required, preferred in VA)
• Bachelor of Social Work (required)
• 1 year of experience in clinical setting (required)

Nice To Haves

• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)
• Master’s degree in social work or healthcare related field (preferred)
• 3 year of experience in an acute care clinical setting (preferred)
• Ambulatory or post-acute, care coordination experience (preferred)

Responsibilities

• Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.
• Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes.
• Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation, maintaining clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
• Ensures documentation reflects the plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning.
• Ensures patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Follows standardized practices and processes related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity through addressing/removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.
• Ensures resources are utilized appropriately and offers alternatives to acute care to the care team.
• Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.
• Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.
• Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.
• Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear.
• Shares responsibilities, promoting a team-based approach to accomplish work.
• Builds strong collaborative partnerships with other members of the care team.
• Supports and follows compliance rules and regulations as mandated by CMS and Conditions of Participation for discharge planning and utilization management.
• Addresses opportunities or potential concerns with leadership.
• Stays abreast of community resources available to facilitate safe patient transitions of care and remains current on clinical advancements related to primary patient population.
• Provides supervision for other social workers and students as appropriate.

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, and short- and long-term disability
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Career Level: Mid Level