As a Social Worker Case Manager l, you will provide/evaluate biopsychosocial impact on patients' plans of care. To help achieve our mission, you will evaluate the ability of patients to progress throughout the continuum of care. Working collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management is of vital importance. Showcasing a working knowledge/experience in utilization management, managed care and payer issues is essential. Providing discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources, is required. Your ability to provide coordination of services and act as a key Liaison between patients, families and the interdisciplinary healthcare members is expected.

 

Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary. Ensures that all options available to support a successful transition and elements critical to patients' care plans have been communicated to patients/families and members of the healthcare team and are documented as necessary to ensure continuity of care. Demonstrates a working knowledge of and experience in utilization management, managed care and payer issues. Understands utilization management and the use of clinical milestones to define transition timelines and community resources. Understands post-acute care criteria and documents appropriate referrals based on patients' clinical presentation and education needs. Refers cases and issues appropriately to resolve barriers to care progression.

 

Requirements:

Masters Degree in Social Work

One – two years of experience in clinical care or clinical case management

Basic Life Support through the American Heart Association upon start