Social Worker, Case Management PRN - Full-time / Part-time

I. Title: Social Worker, Case Management

II. Department: Case Management

III. Primary Purpose: The Social Worker, Case Management works with physicians and other members of the multidisciplinary team to develop a plan for each patient from admission to discharge.

Specific Elements and Essential Functions

* Exhibits excellent customer relations to patients, visitors, physicians, and co-workers. Shows courtesy, compassion and respect to all individuals.

* Utilize team work to complete daily tasks.

* Screen admissions for discharge needs within one-two (1-2) business days.

* Track and monitor avoidable (alternative care) days, and provide your supervisor with this information daily.

* Performs continuous assessments and evaluations, to ensure patient is progressing towards desired outcomes.

* Assesses and responds to patient/family needs by coordinating efforts of other team members.

* Identifies and resolves barriers that hinder effective patient care.

* Collaborates and consults with physicians on patient's progress and discharge planning needs.

* Communicates effective and professionally with peers, supervisors, ancillary departments and all other external/internal customers.

* Manages the process to review and, as appropriate, appeal denials received from payors.

* Coordinates the discharge planning process ensuring involvement of all members of the healthcare team. Counsels with patients and family members in decision making and in meeting psychosocial needs of the patient.

* Maintains knowledge of resources and facilities available to patients and family members.

* Collaborates with personnel at other facilities to coordinate smooth and effective patient transfers and transitions.

* Compiles, evaluates, and reports statistics to members of the team and utilizes the information to facilitate process improvement activities.

* Analyzes pertinent data, communicates findings, documents information accurately.

* Provides age and culturally appropriate care.

* Orients and mentors new staff members.

* Follows Standard Precautions using personal protective equipment as required.

* Acquires/maintains current knowledge related to Case Management.

* Utilizes patient choice letters as appropriate.

* Provides "Important Message from Medicare About your Rights" letter within appropriate timelines.

* Completes UAI paperwork as necessary.

* Assists with the process of adoption when the need arises.

* Collaborates with RN Case Manager to coordinate smooth and effective patient transfers and transitions.

QUALIFICATIONS:

Customer service abilities including effective listening skills.

Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.

Assertive and persuasive communication skills, action oriented.

EDUCATION:

Graduate of an accredited school of social work.

Bachelor of Science in Social Work required

Master of Social Work preferred.

LICENSURE:

Current state licensure as LCSW preferred.

CCM preferred.

EXPERIENCE:

Minimum of 5 years of social work/case management experience required.

Knowledge of CMS guidelines and experience working with pay or specific guidelines and contractual rules preferred.