Social Worker, Case Management - Full Time

Mercy Health System Corporation; United States; On-site; USD 34,000 - 60,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Tuition and certification reimbursemen

Well-being Programs

Employee Discounts

On-demand Pay

Annual recognition/awards events

Job summary

Mercyhealth is seeking a Case Management Social Worker to coordinate and facilitate patient care, discharge planning, and resource referrals. The CMSW will collaborate with the Patient Navigator and multidisciplinary team to improve outcomes while ensuring regulatory compliance.

The role requires on-call availability on weekends/holidays and expertise with social work interventions and community resources. The position emphasizes advocacy, communication with physicians and families, and

Qualifications

• Bachelor's degree (BSW or equivalent) required.
• LSW or CSW licensure in state of practice required.
• Case Management Certification (ACMA) preferred.

Responsibilities

• Provides psychosocial assessment, intervention and refers to community resources for hospital patients in various care settings.
• Develops and implements psychosocial treatment plans including crisis intervention and bereavement services.
• Assesses patients for discharge planning needs, barriers, supports, and resources.
• Develops individualized, patient-focused plans for continuing care needs.
• Educates patients and families on resources and options available.
• Facilitates and assists with legal issues within scope (POAHC, Guardianship, Patient Rights, Adoption).
• Reviews advance directives and helps patients complete new documents.
• Communicates with physicians, patients, families and multidisciplinary team to ensure patient self-determination.
• Provides education and support regarding diagnosis, illness, treatment and life situations.
• Maintains knowledge of community resources to address patient needs and strengthen support networks.
• Documents plan of care and progress in the medical record in a timely manner.
• Facilitates crisis intervention services in hospital settings.
• Identifies and reports child and elder abuse to local authorities.
• Liaises with county officials for protective services, aging, disabilities, domestic violence, mental health, and economic support.
• Maintains knowledge of payer regulations impacting the plan of care.
• Negotiates care issues (indigent issues, resource availability).
• Promotes customer satisfaction and intervenes at critical moments of service.
• Monitors inpatient readmissions for potential discharge issues.
• Provides follow-up with patients as needed.
• Identifies avoidable day information for organizational tracking.

Skills

Allscripts Care Management

Epic EMR

Microsoft Outlook

Excel

Word

Education

BSW or equivalent

Job description

OVERVIEW

The Case Management Social Worker coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The CMSW provides services and support to patients and families who are referred to Social Services or by case finding. The CMSW provides discharge planning as needed. The CMSW is a strong patient advocate. Working in collaboration with the Patient Navigator and the Multidisciplinary team, the CMSW assesses and intervenes with high-risk patients that require a high level of continuing care services while ensuring compliance with regulatory standards of care at the organizational, state and federal level.

Schedule: Monday-Friday with on-call rotation Shift: Days

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provides psychosocial assessment, intervention and facilitates referrals to community resources to hospital patients in a variety of care settings.


• Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions which may include crisis intervention and grief and bereavement services.


• Assesses referred patients, within prescribed time frames, for transitional planning needs, including any barriers to discharge, family and social supports, capacity for self-care, adaptive abilities and financial resources.


• Develops individualized, patient-focused plan for meeting continuing care needs.


• Provides education and resource options available to patients and families.


• Facilitates and assists with legal issues within scope of practice (POAHC, Guardianship, Patient Rights, and Adoption).


• Reviews advance directives and helps patients to complete new documents.


• Communicates effectively with physicians, patients, families and multidisciplinary team to ensure that the patient's right to self-determination is met.


• Provides education and support to patients, families in regard to issues related to adaptation to the patient's diagnosis, illness, treatment and or life situation.


• Maintains detailed knowledge of community resources to effectively address patient needs and help to strengthen patient's network of support.


• Documents plan of care, interventions, and progress toward goals in the medical record in a timely and concise manner.


• Facilitates crisis intervention services in the hospital setting as determined by scope of practice.


• Identifies and reports child and or elder abuse to local authorities according to law.


• Acts as a liaison with county officials for patients involved with protective services, aging, developmental disabilities, domestic violence, mental health services and economic support.


• Maintains current knowledge and awareness of payer, reimbursement practice and regulations impacting the patient's plan of care.


• Negotiates care issues as appropriate (indigent issues and availability of resources).


• Promotes customer satisfaction and intervenes at critical moments of service.


• Monitors inpatient readmissions for potential failed discharge plans or need for specialized intervention.


• Provides follow-up with patients as needed.


• Assists with identifying avoidable day information for organizational tracking and trending.

EDUCATION AND/OR EXPERIENCE

Bachelor's degree from accredited college or university (BSW or equivalent) required. One to two years related experience and or training in acute care setting is desirable.

CERTIFICATION/LICENSURE

LSW or CSW in state of practice required. Case Management Certification (ACMA) preferred.

OTHER SKILLS AND ABILITIES

• Phone Skills: Must be skilled with use of voice mail and phone features. Must be able to use available technology for language interpretation.


• Computer Skills: Must have expert knowledge of Allscripts Care Management program and Epic EMR. Must be able to use Microsoft Outlook; and have basic knowledge of Excel and Word. Must be able to toggle between computer applications.


• Availability: Must be available to work and or be on-call during weekends and holidays, as assigned. On-call requires accessibility by pager or cell phone during assigned hours and ability to respond promptly to pages by phone.

LEVEL OF SUPERVISION

Assignments are based on abilities and are normally received in the form of results expected and due dates. Only general procedures are available to guide work. Must be able to work independently with minimal guidance.

PAY RANGE

$24.60 - $43.81

EMPLOYEE BENEFITS

• Medical


• Dental


• Vision


• Life & Disability Insurance


• FSA/HSA Options


• Generous, accruing paid time off


• Paid Parental and caregiver leave


• Career advancement and educational opportunities


• Tuition and certification reimbursement


• Certification Reimbursement


• Well-being Programs


• Employee Discounts


• On-demand Pay


• Financial Education


• Annual recognition/awards events


• Partner appreciation days


• Family entertainment/attractions discount


• Community service/improvement opportunities

EEO STATEMENT

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

COMPANY CULTURE

Mercyhealth offers competitive pay and a comprehensive benefits package including: Medical, Dental, Vision Life & Disability Insurance FSA/HSA Options Generous, accruing paid time off Paid Parental and caregiver leave Career advancement and educational opportunities Tuition and certification reimbursement Certification Reimbursement Well-being Programs Employee Discounts On-demand Pay Financial Education Annual recognition/awards events Partner appreciation days Family entertainment/attractions discount Community service/improvement opportunities.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin. Mercyhealth has been nationally recognized for our commitment to our people and culture, including: #1 in the nation on AARP's Best Employers for Workers Over 50. One of Working Mother magazine's 100 Best Companies for Working Mothers. A Top 50 Company and Top 10 Nonprofit for Executive Women. For over 135 years, Mercyhealth has provided high-quality health care to residents throughout northern Illinois and southern Wisconsin. We have a passion for providing comprehensive health care close to home for area residents through our six hospitals and 85 primary and specialty care locations. As an integrated health system, you can come to us for routine health care, like annual physicals, immunizations and preventive health screenings, as well as highly specialized care, such as neonatal intensive care, heart surgery, stroke care, neurosurgery, cancer treatment and much more. The range of Mercyhealth's specialties and the skills of our doctors, nurses and clinical staff are truly extraordinary.