Case Manager- Licensed MSW- East

Community Health Network; Indianapolis (IN); On-site; USD 60,000 - 80,000; Full time

Job summary

Community Health Network is seeking a Case Manager responsible for assessing, planning, implementing, and coordinating patient care to ensure quality outcomes. The role includes engaging with patients and healthcare teams for smooth transitions between care levels.

This position requires valid LCSW or LSW licensure in Indiana and a Master's Degree in Social Work, along with a minimum of 2 years of relevant experience.

Qualifications

• LCSW or LSW licensure in the State of Indiana required.
• Master’s Degree in Social Work required.
• Minimum of 2 years of inpatient, outpatient, or home-based social work experience.

Responsibilities

• Confers with nursing staff on ongoing discharge plans.
• Participates in developing and implementing care plans.
• Records pertinent data for team members.
• Conducts discharge planning assessments on identified patients.
• Acts as liaison to post-hospital care providers.

Skills

LCSW or LSW licensure in Indiana

Experience in inpatient, outpatient, or home-based social work

Knowledge of Medicare and Medicaid guidelines

Quality improvement methodology

Education

Master’s Degree in Social Work

Job description

Case Manager

The Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager supports the healthcare team in facilitating smooth transitions from one level of care to another in support of the patient and family.

Responsibilities

• Confers with nursing staff and other ancillary patient care departments regularly regarding ongoing discharge plans and barriers or delays.
• Participates in developing and implementing the goal‑directed plan of care, which is prioritized and based on intermediate goals and specific outcome criteria.
• Coordinates and facilitates care in a knowledgeable, skillful, and consistent manner.
• Performs documentation and maintains patient records in a timely, accurate, clear, and concise manner within the transition to quality software.
• Records pertinent data in required areas for other team members to provide care and services efficiently and continuously.
• Demonstrates awareness and sensitivity to the rights of patients and significant others, as identified within institutional values.
• Shows sound knowledge and participates in decision‑making for designated patient populations, seeking guidance when appropriate.
• Demonstrates responsibility and accountability for own professional practice.
• Participates actively in staff development activities for the service line care management team and nursing department personnel.
• Collaborates with the nurse case manager regarding discharge planning and the use of clinical pathways.
• Engages in self‑directed learning and participates in continuing education to meet professional development goals.
• Shows awareness of legal issues in all aspects of patient care and unit function.
• Manages situations in a manner that reduces risk.
• Participates in the development and evaluation of care management team functions.
• Participates in meetings, reports, and other activities that support the care management team.
• Uses effective communication methods and skills, applying lines of authority appropriately.
• Conducts discharge planning assessments on identified patients to ensure continuity of care.
• Establishes the discharge plan with the patient, physician, and care management team.
• Implements the discharge plan, including referrals to home health agencies, ECF transportation, and addressing unmet needs for a safe transition.
• Employs effective problem‑solving techniques to communicate openly with the care management team and other staff.
• Serves as a resource and consultant to unit staff, care team members, and other staff.
• Consults with patients, families, and physicians on discharge planning.
• Executes comprehensive assessment of patient/family goals and biophysical, psychosocial, environmental, financial, and discharge planning needs.
• Procures services and advocates on behalf of patients and families.
• Acts as liaison to post‑hospital care providers and community health resources.
• Applies knowledge of Medicare, Medicaid, and third‑party payer guidelines.
• Completes all necessary paperwork for final disposition.
• Conducts personal interviews, facilitates family conferences, and holds multidisciplinary conferences to formulate discharge plans.

Qualifications

• LCSW or LSW licensure in the State of Indiana required.
• Master’s Degree in Social Work required.
• Minimum of 2 years of inpatient, outpatient, or home‑based social work experience.
• Experience with quality improvement methodology preferred.
• Demonstrates support of the hospital vision and mission statement.
• Supports collaborative, patient‑centered care and interdisciplinary teamwork.
• Exhibits awareness of legal and ethical considerations in patient care.
• Engages in continuous professional development and maintains competency in the field.