Social Worker - Care Manager - St. Rita's Medical Center

Mercy Health BSMH•Bath Township, OH

3d•Onsite

About The Position

The Social Worker Care Manager at St. Rita's Medical Center 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 identifies and prioritizes patients needing social services through a holistic assessment of biopsychosocial, functional, cultural, spiritual, and financial factors. The Care Manager plans with patients, caregivers, and the healthcare team to support effective, high-quality, cost-conscious outcomes, and monitors or revises plans as patient conditions change. The role maintains clear, concise, timely documentation, including post-hospital care plans, available resources, and patient or caregiver involvement and preferences. It follows standardized processes for advance care planning, length-of-stay management, and readmission prevention; supports denial prevention and medical necessity; and helps remove barriers to timely testing, treatment, and progression of care. The Care Manager participates in interdisciplinary discharge rounds, promotes appropriate resource utilization, and offers alternatives to acute care.

Requirements

Bachelor of Social Work.
BLS Basic Life Support certification from the American Heart Association.
Licensed 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, problem solving, teamwork, 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.
3 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 approach that considers 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 records of patient needs.
Document post-hospital care needs and resources, patient and caregiver involvement in planning, and treatment goals and preferences.
Communicate patient and caregiver preferences for transition planning to the multidisciplinary team.
Follow standardized practices for advance care planning, length-of-stay management, and readmission prevention.
Support denial prevention and 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.