Case Manager - MSW - PRN

Northeast Georgia Medical Center; Gainesville (GA); On-site; USD 56,000 - 85,000; Full time

Job summary

Northeast Georgia Health System is seeking a Case Management Social Worker to provide medical social work services to patients in a hospital setting. The role assesses social, psychological, cultural, environmental, and financial needs and collaborates with the care team to develop discharge plans.

The position requires crisis intervention, advocacy, and cross-coverage across settings, including weekend rotations.

Qualifications

• Master's Degree in Social Work from an accredited program; licensure preferred.
• Minimum of 1 year experience in hospital or related health care setting.
• CCM or ACM certification preferred for advanced case management.

Responsibilities

• Gathers information on patients' social, psychological, cultural, environmental, and financial factors to assess discharge needs.
• Uses SBIRT techniques to identify at-risk alcohol and drug use and arrange referrals as needed.
• Expedites discharge planning through networking and teamwork to support patient stay and transition.
• Coordinates placement (NH, SNF, AL, LTAC, Acute Rehab) and transportation post-discharge; verifies insurance and signatures.
• Maintains patient advocacy and ensures Freedom of Choice and Medicare communications.

Skills

Social work

Crisis intervention

Communication skills

SBIRT techniques

Cultural competence

Team collaboration

Education

Master's Degree in Social Work

Licensure preferred

Job description

Job Category

Behavioral Health, Counseling, and Clergy

Work Shift/Schedule

Varies

About the Role

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

Job Summary

The Case Management Social Worker is responsible for the provision of medical social work services to patients receiving care in the hospital setting. Assesses the social, psychological, cultural, environmental, and financial situation, as well as disposition needs for each referred patient. Collaborates with RN Case Manager, patients, families, healthcare team members, and community agencies to develop and implement plans to address identified needs. Evaluates effectiveness of plans and initiates change as needed. Uses crisis intervention, problem solving model, community organization, and advocacy skills in identifying needs and resources in the hospital and community. This position will come in contact with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups; Employees will perform clinical duties in accordance with population specific guidelines and adhere to National Patient Safety Guidelines. Provides cross coverage for all Social Workers as required across all settings in the care continuum, including weekend rotation (as needed).

Minimum Job Qualifications

• Licensure or other certifications:
• Educational Requirements: Masters Degree in Social Work from an accredited School of Social Work; licensure preferred.
• Minimum Experience: One (1) year experience in a hospital preferred, agency or institution providing related health care services.
• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications: CCM (Case Management Certification) or ACM (American Case Management Certification) preferred.
• Preferred Educational Requirements:
• Preferred Experience:
• Other:

Job Specific and Unique Knowledge, Skills and Abilities

• Excellent communication skills, exhibits a positive attitude
• Social Work assessment and counseling skills
• Knowledge of state and federal programs that provide medical care and financial support to individuals, knowledge of community resources
• Ability to work with diverse patient and staff populations
• Ability to work independently and amicably in group situations
• Conversant with current thinking on professional conduct and practice
• Must have strong clinical assessment, intervention, and counseling skills across all age ranges; child, adolescent and adult
• Ability to work with individuals of varying cultural and socio-economic backgrounds
• Knowledge of Long Term Care regulations, financial eligibility and admission criteria
• Knowledge of adoption and surrogacy policies and regulations
• Demonstrates the ability to think 'outside of the box' and consistently create new, and effective solutions to today's problems and opportunities
• Demonstrates the minimum knowledge, skills, and abilities to care for the individualized needs of the patient.

Essential Tasks and Responsibilities

• Uses a family systems theory framework to gather information, to include, patient's social, psychological, cultural, environmental and financial situation. Identified legal, financial, social, educational, and environmental factors which may affect medical care and/or discharge plans. Informs team members of critical information that will affect patient's stay while in the hospital and / or discharge plan. Assesses and assures appropriate reporting of any potential/actual abusive relationship, such as child/adult abuse, neglect or domestic violence. Assesses upon request an psychiatric/ substance abuse disorders and initiates or assists in arranging appropriate intervention and referrals for treatment upon discharge.
• Uses SBIRT techniques which allows for an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels with the goal of reducing and preventing related health consequences, disease, accidents and injuries.
• Expedites the discharge plan through excellent networking and team skills within the patient's expected length of stay per working DRG. Provides patient advocacy and ensures patient's Freedom of Choice and Medicare's Important Message. Attends multidisciplinary rounds to ensure timely communication with the team.
• Receives referrals for appropriate placement (NH, SNF, Assisted Living, LTAC, Acute Rehab etc., from Case Manager or Care Coordinator). Reviews patient information from the electronic record. Interviews patient and/or family for preference of facilities and secures signatures on Freedom of Choice form. Completes DMA 6 where required and obtains appropriate signatures. Updates any changes in insurance, demographic information, patient level of care, etc. Ensures appropriate discharge documentation is available to accompany patient to the facility. Stays in touch with the team, patient and family regarding post acute plans. Coordinates appropriate transportation.
• Assist with the applicati