Inpatient Case Manager RN or Social Worker BSW/MSW (Full Time/Days)

Penn Medicine; Lancaster (Lancaster County); On-site; USD 70,000 - 95,000; Full time

Job summary

Penn Medicine in Lancaster, PA, is seeking an RN Case Manager and Social Worker to advocate for patients and coordinate care across inpatient, outpatient, and community settings. The role emphasizes multidisciplinary collaboration and high-quality, cost-effective care.

Required qualifications include RN licensure (PA) or equivalent with 10+ years in acute/subacute care or case management, and MSW or related social work degree. Strong communication and organizational skills are essential.

Qualifications

• RN with PA licensure or equivalent required; 10+ years in acute/subacute care or case management.
• MSW or BSW with MS in Human Services or 10+ years relevant social work experience.

Responsibilities

• Act as patient advocate to coordinate care across continuum.
• Assess patient/family needs and formulate documented care plan.
• Coordinate care across inpatient/outpatient/community settings.
• Lead and participate in interdisciplinary teams to ensure quality care.
• Participate in data collection, clinical audits, and program evaluation.

Skills

Excellent communication

Customer service

Leadership

Independent work

Team collaboration

Organization

Motivational interviewing

Teach-back method

Education

Bachelor's Degree in Nursing

RN licensure (PA)

MSW or related social work degree

BSW with MS in Human Services

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

LOCATION: Lancaster, PA - Lancaster General Hospital

HOURS: Full Time (40 hours per week). Monday-Friday (8am-5pm). No nights. 3-4 weekends per year and rotating holidays.

Summary: Acts as an advocate for the patient, assisting them to reach optimal function and health in an appropriate environment that would support their needs. The Case Manager - RN functions within the full scope of practice to include the major responsibilities of the position and to extend these responsibilities beyond the episode of care to encompass coordination of care across the continuum. The Case Manager - RN applies the processes of assessment, planning, implementation, monitoring, evaluation, and coordination of care to meet the patients' health care needs across the continuum in collaboration with health team members, community members, to ensure safe, quality and cost-effective care.

• Conducts assessments of patient/family needs by coordinating input from all health professionals and formulating a documented plan assuring continuity of care for the rising and high-risk patients.
• Delegates care coordination based on situation while assuming accountability for patient outcome. Supports assistive personnel
• serves as a resource and holds assistive personnel accountable to complete delegated tasks.
• Identifies appropriate providers, facilities, external healthcare organizations throughout the continuum of care and communicates with an interdisciplinary treatment team to develop and maintain positive working relationships with patients, families and providers.
• Functions as a coordinator and manager of a defined health population across care setting and for multiple physicians/health care providers or health plan counterparts. Works closely with their assigned primary care department/practice to offer individualized assistance with improving and maintaining quality patient care.
• Coordinates care across the continuum (inpatient/outpatient/community) to assure appropriate utilization of clinical and community resources.
• Oversees and guides the development of multiple health partnerships to achieve a positive health effect.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to initiatives.
• In conjunction with the practice team, identifies patients at risk for poor outcomes or experiencing poor coordination of services who would benefit from more intensive follow-up.
• Provides chronic disease and self-management education and support.
• Participates in the on-call responsibilities for this position as required.
• Other duties as assigned.

Required Minimum Qualifications:

Registered Nurse;

• Bachelor's Degree in Nursing, OR a health care related degree is required with at least ten (10) years of acute/sub acute care or Case Management experience.
• Current licensure as a Registered Nurse, issued by the Pennsylvania Board of Nursing.

Social Worker;

• Master's degree in social work (MSW), OR a Bachelor's degree in social work (BSW) with a Master's degree (MS) in Human Services from an accredited school OR a Bachelor's degree in social work (BSW) with ten (10) years of relevant experience.
• Three (3) years of acute care nursing, social work or other relevant case management/addictions medicine experience.
• Excellent communication and customer service skills.
• Proven informal leadership skills.
• Ability to work independently, setting priorities to coordinate care plans efficiently.
• Ability to work in a fast-paced, multi-disciplinary team environment.
• Highly organized and detail oriented with the ability to perform multiple tasks simultaneously.
• Effective behavioral and educational strategies including motivational interviewing, teach-back method and self-management support.
• One (1) year experience in case coordination and planning as well as experience in project implementation and execution.

Preferred Qualifications:

• Five (5) years of case management experience.
• Case management Certification (ACM/CCM) within 3 years.
• Care management experience in a managed care setting.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.