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This is a 3-month travel contract in Canton, Georgia 30115.
Schedule:
3:30p - Midnight, Mon-Fri
SUMMARY
- Collaborates with neonate, adolescent, adult, and geriatric patients, families, medical staff, and community agencies.
- Determines appropriate care settings, hospitalization necessity, and post-discharge care needs.
- Provides interventions to ensure efficient and effective clinical resource management.
- Delivers support in adjustment to hospitalization, crisis intervention, and psychosocial assessment.
PRIMARY DUTIES AND RESPONSIBILITIES
- Screens cases preadmission, at admission, during hospitalization, and post-discharge per department procedures.
- Uses clinical judgment to select appropriate interventions impacting resource management.
- Consults with staff to prioritize discharge planning and gather accurate patient information.
- Supplies external reviewers with clinical information for reimbursement, including retroactive reviews.
- Interviews patients and families to assess physical/mental functioning, family/support system, and finances.
- Counsels patients and families on post-hospital care options.
- Issues Notice of Non-Coverage letters in compliance with hospital and Medicare/third-party policies.
- Discusses financial responsibility issues with patients, families, and medical staff as appropriate.
- Coordinates with healthcare and community agencies to execute discharge plans.
- Documents assessments, plans, and progress in patient charts; communicates updates to stakeholders.
- Logs case management activities on designated worksheets.
- Makes appropriate referrals to departments such as Risk Management, Infection Control, and Pharmacy.
- Responds to referrals from financial counselors, physicians, and nurses regarding financial hardships.
- Reports suspected abuse or neglect in accordance with hospital policy.
- Maintains and periodically updates resource files and community referral contacts.
- Responds to in-house referrals and external calls; provides resources and appropriate referrals.
- Conducts studies to assess the appropriateness of social work services using predefined criteria.
- Develops or updates support, informational, and educational materials for assigned populations.
- Offers in-service training on case/clinical resource management.
- Participates in the appeals process for denials related to Care Coordinator actions.
REQUIREMENTS:
- Masters of Social Work (MSW) OR Bachelor’s degree in related field with strong clinical background.
- One (1) year internship experience in social work OR one year previous experience in case management, utilization review, social services or related field.
- Ability to interact with patients, families, physicians, and hospital staff.
- Excellent oral and written communication skills.
- Three (3) years experience in case management, social services or related field.
- Certification as Certified Case Manager.
- AHA BLS certification.
- Must have Acute Care Hospital/Clinical experience.
- Required: LCSW certification.
Seniority level
Employment type
Job function
Industries
- Hospitals and Health Care
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