Social Worker - Care Manager - Mary Immaculate Hospital

Bon Secours Mercy Health•Newport News, VA
•$31 - $48•Onsite

About The Position

The Social Worker Care Manager provides interventions and discharge planning services to patients and families, facilitating transitions throughout 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 is part-time, with a 24-hour workweek, at Mary Immaculate Hospital. The Social Worker Care Manager identifies and prioritizes patients needing social services using a holistic approach that considers biopsychosocial, functional, cultural, spiritual, and financial factors. In collaboration with patients, caregivers, and the healthcare team, the role develops and adjusts plans to support quality, cost-effective outcomes. It maintains timely and clear patient-record documentation, including care plans for post-hospital needs and evidence of patient and caregiver involvement. The position follows standardized processes for advance care planning, length-of-stay management, and readmission prevention; supports medical-necessity denial prevention; participates in interdisciplinary discharge rounds; and helps remove barriers to timely testing, treatment, and care progression while identifying appropriate resource alternatives.

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, effective problem solving, teamwork, adaptability, 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.
  • Social Worker licensure in Virginia is preferred.

Responsibilities

  • Identify and prioritize patients in need of social services, considering 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 as indicated by changes in a patient's condition.
  • Complete necessary documentation and maintain clear, concise, and timely documentation in patient records.
  • Document post-hospital care needs and resources, patient and caregiver involvement in planning, and treatment goals and preferences; communicate relevant information to the multidisciplinary team.
  • Follow standardized practices and processes related to advance care planning, length-of-stay management, and readmission prevention.
  • Support medical-necessity denial prevention 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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