Thank you for considering a career at Roper St. Francis Healthcare!
Scheduled Weekly Hours:
0.01Work Shift:
Days (United States of America)Location: Roper Hospital - Charleston SC
Shift: As needed 8:00am-5:00pm
Job Summary:
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.
Minimum Qualifications:
Education: Masters Degree from an accredited school of Social Work.
Experience: One year of clinical experience in at least one of the following areas: Case Management Social Work and/or Discharge planning. Preference will be given to those with hospital experience.
Licensure/Certification: Currently licensed by the State Board of Social Work Examiners for S.C. Preference will be given to those with Case Management Certification.
Primary Source Verification (if applicable): Social Worker- Labor Licensing and Regulation (LLR): Demonstrates knowledge of community resources government and commercial payer programs benefits and eligibility and post-acute service regulatory requirements. Demonstrates knowledge of reimbursement systems the ability to educate patients and families regarding payer requirements / coverage for post-acute 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. Maintains a working relationship with external providers services agencies to facilitate the transition of care. Requires high level negotiation skills and confidence in communicating with and engaging in crucial conversations with physicians and entire healthcare team.
Other: Requires excellent oral and written communications skills. Ability to work in a fast pace team environment. Ability to prioritize and multi-task. 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.
Contacts: Frequent interaction with interdisciplinary healthcare team patients/families/caregivers insurance companies community organizations vendors and regulatory agencies.
Work Demands/Environment: 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.
Roper St. Francis Healthcare is an equal opportunity employer.
What we offer
Competitive pay incentives referral bonuses and 403(b) with employer contributions (when eligible)
Medical dental vision prescription coverage HAS/FSA options life insurance mental health resources and discounts
Paid time off parental and FMLA leave and short- and long-term disability
Tuition assistance professional development and continuing education support
Benefits may vary based on the market and employment status.
Department:
Rehab Case Management - Roper HospitalIt 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 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
Roper St. Francis Healthcare is the Lowcountry’s preferred healthcare provider with more families choosing us than anyone else.