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McLaren Health Care seeks a Social Work Care Manager (Bachelor of Social Work) to assess and intervene with patients and families to improve health outcomes and alleviate psychosocial barriers affecting care and discharge planning.
Responsibilities include early barrier assessment, coordination with multidisciplinary teams, linkage to community resources, and documentation in the EMR. Preferred: MSW and 3+ years hospital experience.
The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.
P rovides assessment and intervention to assist clients/families to improve social and economic difficulties interfering with health and wellness through use of casework process and principles, strategies, and community resources . Provides professional discharge planning services through assessments, and coordination of post hospital care needs to patients and their families; providing them with resources and choices to effectively link them to the needed level of emotional, medical and spiritual care. Receives referrals for individuals from at-risk populations from interdisciplinary team members.
Essential Functions and Responsibilities as Assigned:
1. Performs assessment on assigned patients, with focus on identifying those with complex psych-social or financial issues, placement needs and on the next business day after admission.
2. Identifies and assesses barriers early in the patient’s stay, formulating a plan with the patient, family, internal and external members of the healthcare team, payers, and community resources (e.g., LOS barriers to D/C).
4. Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
5. Identifies the need for, arranges, and participates in family care conferences; participates in interdisciplinary conferences and provides consultation for patient, families, and clinical staff (e.g., attends care conferences/unit rounds/huddles).
6. Uses knowledge of insurance benefits and coverage guidelines to maximize appropriate utilization of resources.
8. Works collaboratively with the RN Care Manager/Supervisor, other disciplines, and internal and external members of the healthcare team to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources and preferences.
9. Performs other related duties as required and directed.
Required:
Preferred:
Additional Information
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.