Social Work Case Manager - Full Time - Rotational Hours - Wexford, PA

Highmark Health; Wexford (Allegheny County); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to join their dynamic team. This role is crucial in advocating for patients and their families, ensuring smooth transitions of care, and addressing social determinants of health that impact wellness. The successful candidate will collaborate with a diverse team of healthcare professionals to enhance patient experiences and improve overall care quality. If you are passionate about making a difference in healthcare and possess a Master's in Social Work, this opportunity could be your next career move.

Qualifications

• Master's degree in Social Work required.
• Experience in a hospital or healthcare setting is essential.

Responsibilities

• Conduct comprehensive assessments and provide care coordination.
• Educate patients and families on post-discharge care options.
• Lead discussions on care goals and provide crisis interventions.

Skills

Patient Advocacy

Care Coordination

Crisis Intervention

Communication Skills

Education

Master's degree in Social Work

Job description

Company :

Allegheny Health Network

Job Description :

$10,000 sign on bonus available

GENERAL OVERVIEW:

This role involves collaborating with an interdisciplinary team of providers, clinicians, health plans, and external partners to advocate for patients and families/caregivers, coordinating care across the continuum. The incumbent is a vital part of the Care Management team, aiming to improve care quality, patient experience, and population health by addressing social determinants of health that impact wellness.

ESSENTIAL RESPONSIBILITIES

1. Complete initial and ongoing comprehensive assessments, providing interventions and recommendations after engaging with patients and their caregivers/families. Focus on social determinants of health to ensure successful care coordination. (30%)
2. Collaborate to create safe transition plans for patients (Inpatient/Observation/ED) to ensure timely discharge and appropriate connection with post-discharge care providers and community resources. (25%)
3. Educate patients, families/caregivers, and physicians about appropriate post-discharge care levels and accessing community support. Advocate through effective communication with team members, payers, and post-acute partners to ensure safe transitions. (20%)
4. Serve as a resource for counseling and interventions related to treatment decisions and end-of-life issues. Lead discussions to establish care goals and provide crisis interventions for issues such as abuse, violence, mental health, substance use, and surrogate decision-making. (15%)
5. Promote professional growth through certification, mentoring, and participation in committees. (5%)
6. Support departmental goals that contribute to organizational success. (5%)
7. Perform other duties as assigned.

QUALIFICATIONS:

Minimum

• Master's degree in Social Work (Incumbents in role before 4/21/2025 have 6 months from hire to obtain)
• Experience in a hospital or healthcare setting
• LSW and/or LCSW required (Incumbents before 04/21/2025 have 12 months from hire to obtain)
• Act 34 Criminal Background Clearance
• Act 33 Child Abuse Clearance
• Act 73 FBI Fingerprinting Clearance

Preferred

• None

Disclaimer: The job description indicates the general nature and essential duties of the role but may not include all responsibilities or qualifications.

Compliance: The role adheres to ethical, legal, and behavioral standards as per company policies and applicable laws, including HIPAA and data security guidelines. Employees must maintain confidentiality and comply with all relevant policies and regulations.

Highmark Health and affiliates prohibit discrimination based on protected statuses. For accessibility or accommodation requests, contact HR Services Online at [e-mail].