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Thank you for considering a career at Roper St. Francis Healthcare!
Scheduled Weekly Hours:
36Work Shift:
Days (United States of America)Location:
Bon Secours St Francis Hospital West Ashley
This position will be responsible for working with the Emergency Department.
Hours:
Saturday/Sunday/Monday; 7:00 am 7:00 pm.
Primary Function/General Purpose of Position
Under the general supervision of the Supervisor and/or Manager and according to established policies and procedures coordinates negotiates and manages the care of patients to facilitate achievement of positive clinical and financial outcomes. Works collaboratively with interdisciplinary staff internal and external to the organization to facilitate appropriate delivery of healthcare services. The Case Manager MSW integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for planning the ways in which patient care will be provided the steps in the care process and the outcomes of care. This roles objective is to promote a collaborative interdisciplinary care delivery model to achieve optimal clinical satisfaction and financial outcomes. The Case Manager MSW participates in quality improvement and evaluation processes related to management of patient care. Work is of a highly confidential nature.
Essential Job Functions
Performs day to day case management and discharge planning service delivery for patients with complex psychosocial financial and legal discharge planning needs aligned with organizational goals for clinical financial and experience outcomes Advocates and facilitates patient/family/caregiver centric plans of care based on patients needs preferences and available resources. Consistently collaborates with multidisciplinary teams to execute responsibilities including postacute referrals/discharge planning crisis intervention counseling abuse/neglect guardianship and psychosocial assessment. Provides accurate timely and appropriate documentation of all social work interventions in the medical record per regulatory policies and procedures. Updates the discharge plan ensuring it is consistent and up to date based on the patients discharge needs appropriate postacute level of care patient/family/caregiver preferences and covered services. Provides supportive counseling to patients/families about placement options both for postacute placements and mental health patients as appropriate to include available resources adoption and guardianship to support a centered realistic discharge plans and realistic expectations. Ensures mandatory reporting and provision of discharging planning for the patient in cases of suspected abuse or neglect and refers patient cases to the Department of Social Services when applicable. Collaborates with Financial Services to facilitate obtainment of funding for the acute and postacute needs.
Routinely engages in social work and transfer planning systems that support patient transitions of care Highly visible on site resource and partner to the hospital and available to discuss and problem solve issues related to the transition plan including barriers to a safe and timely transfer. Refers and facilitates transfer of patients to appropriate placement options and community resources. Collaborates with Community resources such as Access Health/Transition Clinic/CIN/Population Health Team to obtain insurance coverage and access to community resource to ensure proper continuum of care. Maintains working knowledge of capacity and level of care criteria as it relates to transition of care options.
Ensures evidence based quality care delivery through communication with the care team quality outcome reporting and collaboration in process improvement initiatives. Collects data variances as outlined by department key performance indicators. Participates in Process Improvement events and collects data related to process improvement initiatives when applicable. Remains up to date with continuing education related to population served.
This document is not an exhaustive list of all responsibilities skills duties requirements or working conditions associated with the job. Employees may be required to perform other jobrelated duties as required by their supervisor subject to reasonable accommodation.
Licensing/Certification
Currently licensed by the State Board of Social Work Examiners for S.C. required.
Preference will be given to those with Case Management Certification.
Education
Masters Degree from an accredited school of Social Work
Work Experience
One year of clinical experience in at least one of the following areas: Case Management Social Work and/or Discharge planning preferred. Preference will be given to those with hospital experience.
Patient Population
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Working Conditions/Physical Requirements
Frequent sitting walking standing stooping bending. May require lifting or moving items up to 25 lbs occasionally up to 50 lbs. Requires working under stressful and/or undesirable conditions in a variety of clinical settings or working irregular hours. Frequent exposure to physical and mental disabilities pain anguish grief and death. Frequent use of finger/hand dexterity. Constant talking or hearing. Corrected hearing and vision to normal range. Minimal risk of exposure to blood body fluids or tissue. Possible exposure to infectious materials communicable diseases and/or other conditions common to a healthcare environment. Normal office environment. Requires work under stressful conditions deadlines and/or irregular hours. Ability to read and comprehend. Travel may be required.
Skills
Demonstrates knowledge of community resources government and commercial payer programs benefits and eligibility and postacute service regulatory requirements.
Demonstrates knowledge of reimbursement systems the ability to educate patients and families regarding payer requirements / coverage for postacute care services and the ability to effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate.
Maintains working knowledge of post transition of care options based on facilities capabilities and funding accepted.
Requires high level negotiation skills and confidence in communicating with and engaging in crucial conversations with physicians and entire healthcare team.
Requires excellent oral and written communications skills.
Ability to work in a fast pace team environment.
Ability to prioritize and multitask.
Ability to make sound judgements and act professionally under pressure.
Ability to maintain confidentiality of sensitive patient information.
Must have ability to solve problems independently prioritize work and design creative solutions when resources or options for discharge are limited.
Maintains a working relationship with external providers services agencies to facilitate the transition of care.
Roper St. Francis Healthcare is an equal opportunity employer.
Many of our opportunities reward* your hard work with:
*Benefits offerings vary according to employment status.
Department:
Case Management St Francis HospitalIt is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 601.4(a) 60300.5(a) and 60741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .
Required Experience:
Manager
Full-Time