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Scheduled Weekly Hours:
40Work Shift:
Days (United States of America)Primary Function/General Purpose of Position
The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital community and governmental resources. They also provide clinical supervision to peers Social Workers and students.
Schedule: Saturday and Sunday 12 hour day shift Monday & Tuesday 8 hour day shift
Essential Job Functions
Identifies and prioritizes patients in need of social services using a holistic approach inclusive of biopsychosocial functional cultural spiritual and financial factors. Plans with the patient caregivers and members of the healthcare team to maximize health care responses quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
Completes all necessary documentation. Maintains clear concise and timely documentation in the patient record to reflect the needs of the patients.
Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient family or caregiver involvement in planning. Ensuring patients and caregivers treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
Follow standardized practices and process related to Advance Care Planning Length of Stay management and readmission prevention.
Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
Supports and promotes assertive proactive care for patients assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.
Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.
Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.
Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.
Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear.
Shares responsibilities promoting team-based approach to accomplish work.
Strong collaborative partnerships with other members of the care team.
Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership.
Stays abreast of community resources available to facilitate sate patient transitions of care and remains current on clinical advancements related to primary patient population.
Provides supervision for other social workers and students as appropriate.
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 job-related duties as required by their supervisor subject to reasonable accommodation.
Licensing/Certification
BLS Basic Life Support American Heart Association (required)
Licensed as a Social Worker in state of practice (required preferred in VA)
Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)
Education
Bachelor of Social Work (required)
Masters degree in social work or healthcare related field (preferred)
Work Experience
1 year of experience in clinical setting (required)
3 year of experience in an acute care clinical setting (preferred)
Ambulatory or post-acute care coordination experience (preferred)
About Us
As a faith-based and patient-focused organization Bon Secours exists to enhance the health and well-being of all people in mind body and spirit through exceptional patient care. Success in this goal requires a culture of compassion collaboration excellence and respect. Bon Secours seeks people that are committed to our values of compassion human dignity integrity service and stewardship to create an environment where associates want to work and help communities thrive.
Bon Secours is an equal opportunity employer.
Many of our opportunities reward* your hard work with:
*Benefits offerings vary according to employment status.
Department:
Case Mgmt - St. Francis - DowntownIt is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(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 youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . 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