social work coordinator

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.
Program Overview:
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members&rsquo; health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.
Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
Fundamental Components<ul><li>Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member&rsquo;s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member&rsquo;s benefit plan and available internal and external programs/services.</li><li>Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.</li><li>Coordinates and implements assigned care plan activities and monitors care plan progress.</li><li>Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.</li><li>Identifies and escalates quality of care issues through established channels.</li><li>Utilizes negotiation skills to secure appropriate options and services necessary to meet the member&rsquo;s benefits and/or healthcare needs.</li><li>Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.</li><li>Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>Engages with colleagues in ongoing team meetings and offers peer mentoring/training.</li><li>Helps member actively and knowledgably participate with their provider in healthcare decision-making.</li><li>Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.</li></ul>
Required Qualifications
Must live near Winnebago county<ul><li>2 years experience in behavioral health, social services or appropriate related field equivalent to program focus</li><li>Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually</li><li>Must possess reliable transportation and be willing and able to travel up to 75% of the time in and around Winnebago county. Mileage is reimbursed per our company expense reimbursement policy</li><li>Excellent analytical and problem-solving skills</li><li>Effective communications, organizational, and interpersonal skills</li><li>Ability to work independently</li><li>Proficiency with standard corporate software applications, including MS Word, Excel,</li></ul>
Outlook and PowerPoint, as well as some special proprietary applications.<ul><li>Efficient and Effective computer skills including navigating multiple systems and keyboarding</li></ul>
Preferred<ul><li>Case management and discharge planning experience</li><li>Managed Care experience preferred
</li></ul>Education
<ul><li>Bachelor's degree or non-licensed master level clinician required with either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling)</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$21.10 - $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. 
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 
Additional details about available benefits are provided during the application process and on Benefits Moments. 
We anticipate the application window for this opening will close on: 05/29/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Case Management Coordinator (Field - Winnebago county)

US Department of Veterans Affairs

Senior Social Worker (LVR3) Admissions and Discharge Coordinator

JLL supports the Whole You, personally and professionally.
 
Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology to our clients. We are committed to hiring the best, most talented people in our industry; and we support them through professional growth, flexibility, and personalized benefits to manage life in and outside of work. Whether you’ve got deep experience in commercial real estate, skilled trades, and technology, or you’re looking to apply your relevant experience to a new industry, we empower you to shape a brighter way forward so you can thrive professionally and personally.
 
The Workplace Coordinator provides general office, and facilities support with a variety of activities, audits and workspace-related tasks, exhibiting strong customer relationship/communication skills. Single point of contact for landlord queries and escalations. Successfully coordinates the resolution of problems associated with all building services including but not limited to small projects, working with vendors, workspace resources, as well as interior and exterior furnishings, fixtures and equipment.
 
Please note, only individuals with diverse abilities are entitled to apply. If you are not a candidate with diverse abilities, you can still review other available roles on our recruiting page.
 Qualifications
 What we are looking for?
 A Bachelor’s degree in any major from any accredited university.
 Legally eligible to work in Egypt.
 Availability of People with Diverse Abilities Government Card. If not, please highlight in the application to assess if we can help you obtain this once you pass the Interview process.
 Strong analytical, problem-solving skills and positive attitude. Eager to learn and grow.
 Highly developed interpersonal skills.
 Good/ Excellent English proficiency.
 
Responsibilities: 
Workplace Management
 Administration and monitoring of general maintenance within the facility
 Coordinate service visits with property management representatives and vendors
 Provides hospitality and support for guests, visitors, and employees at client location
 Resolves problems associated with all building services including janitorial, conference rooms, workstation as well as interior and exterior furnishings, fixtures and equipment, printers and meal/snack service
 Assist with the coordination and scheduling of maintenance activities to ensure completion within the defined Service Level Agreement (SLA)
 Works with all internal departments such as IT, Security, ….
 Detailed inspections to discover all issues and assign tickets
 Proactive in finding improvements and following through on a plan to complete
 Identify costs saving ideas on a monthly basis
 Coordinates special events in support of client or CRE
 Vendor and Supplier Management
 Manage Facilities contracts on behalf of the client as managing agent
 Coordinate discussions with selected vendors or suppliers regarding goal setting, performance criteria, and performance review
 Relationship Management
 Single point of contact for all landlord queries and escalations
 Local point of contact with client’s IT team
 Local contact with the data centre providers – HVAC, UPS, Communications
 Local contact with security, provide print login credentials
 Account Performance
 Develop and maintain strong and healthy relationships with the client and landlord
 Ensure client satisfaction with delivery of facility management services and provide a lead role in monitoring and increasing customer satisfaction
 Administration and monitoring of general maintenance within the facility
 Provides hospitality and support for guests, visitors, and employees at client location
 Resolves problems associated with all building services including janitorial, conference rooms, workstation as well as interior and exterior furnishings, fixtures and equipment, printers and meal/snack service
 Assist with the coordination and scheduling of maintenance activities to ensure completion within the defined Service Level Agreement (SLA)
 Detailed inspections to discover all issues and assign tickets
 Proactive in finding improvements and following through on a plan to complete
 If this job description resonates with you, we encourage you to apply even if you don’t meet all of the requirements below. We’re interested in getting to know you and what you bring to the table!
 
Personalized benefits that support personal well-being and growth:
 
JLL recognizes the impact that the workplace can have on your wellness, so we offer a supportive culture and comprehensive benefits package that prioritizes mental, physical and emotional health.
 
About JLL –
 
We’re JLL—a leading professional services and investment management firm specializing in real estate. We have operations in over 80 countries and a workforce of over 102,000 individuals around the world who help real estate owners, occupiers and investors achieve their business ambitions. As a global Fortune 500 company, we also have an inherent responsibility to drive sustainability and corporate social responsibility. That’s why we’re committed to our purpose to shape the future of real estate for a better world. We’re using the most advanced technology to create rewarding opportunities, amazing spaces and sustainable real estate solutions for our clients, our people, and our communities.
 
Our core values of teamwork, ethics and excellence are also fundamental to everything we do and we’re honored to be recognized with awards for our success by organizations both globally and locally.
 
Creating a diverse and inclusive culture where we all feel welcomed, valued and empowered to achieve our full potential is important to who we are today and where we’re headed in the future. And we know that unique backgrounds, experiences and perspectives help us think bigger, spark innovation and succeed together.

Workplace Coordinator

Wood

<div>Wood is currently recruiting for an experienced PTW Coordinators for a project with ADNOC client and the position will be based in Habshan Abu Dhabi.
Due to client requirement and expectation this position will be onshore site based in Abu Dhabi, United Arab Emirates.
Remarkable people, trusted by clients to design and advance the world.
The Role
This is an exciting opportunity for an experienced PTW Coordinator with a proven track record in the industry, ensuring the successful execution of projects and alignment with company goals for a high-profile client.
Our Clients and Projects
Designing the future. Transforming the world.
Wood's Oil, Gas &amp; New Energies business is built on a strong legacy of delivering large and complex projects for national and international energy companies across the globe. We have experienced teams, a proven delivery model and a strong reputation.
We are the market-leading provider of integrated and innovative solutions that challenge the status-quo in the oil and gas upstream and midstream, onshore and offshore, gas to liquids and decarbonization and electrification markets. We pride ourselves in steady and predictable delivery, setting our sights on an exciting growth trajectory.
Energy security, transition and supply have never been more important. You, our enabling teams, are at the very forefront of transformative projects that are providing sustainable power to generations to come. We are the ones to bring low-carbon concepts to reality.
What we can offer
<ul><li>Meaningful and interesting projects: Delivered to high profile clients across the Energy Sector
</li><li>Commitment to Diversity and Inclusion: We are an organization actively committed to diversity and inclusion across our business
</li><li>Competitive remuneration package: With regular reviews to ensure we are rewarding at the right level in line with the market
</li><li>Medical Insurance: Ensures inpatient, and outpatient medical care is available should you require treatment
</li><li>Group Life and Personal Accident Insurance : The company provides Life Assurance cover
</li><li>End of Service Gratuity: In line with UAE Labor Law, all employees are eligible for an End of Service benefit
</li><li>The Employee Share Plan : Gives you the opportunity to purchase Wood shares and receive a match from the company
</li><li>Long Service Award: Wood values the commitment and loyalty of our people. Celebrating Long Service provides an opportunity for the business to demonstrate their appreciation of the hard work, dedication and many years&rsquo; services of our employees at 5 - year service milestones
</li><li>Commitment to continued professional development: Development plans that are tailored to your individual needs and interests
</li><li>Global connections : Join experts around the world who are at the leading edge of our industry, shaping the standards of our profession
</li><li>Energy Transition Academy: Join a community of experts sharing your knowledge and gaining more exposure to a variety of existing and emerging energy systems - delivered by experts in their field
</li></ul>The key objectives for this role are:
PTW Coordinator would be responsible for overseeing the construction of large-scale projects. Also, ensure that all contractors and subcontractors are working together effectively to meet project deadlines, and they act as a liaison between these parties and the client or owner of the property being built. Managing the day-to-day operations at their site. This might include ensuring that all equipment is functioning properly, monitoring safety protocols, and making sure that workers have everything they need to do their jobs well.</div>
 <div><ul><li>Coordinating work activities with other team members to ensure that projects are completed on time and within budget
</li><li>Providing training to crew members on safety precautions, company policies, and job skills
</li><li>Scheduling staff time efficiently to ensure that all project goals are met within specified time frames
</li><li>Monitoring the progress of construction projects to ensure that contractors are meeting deadlines and adhering to specifications
</li><li>Estimating costs for labor and materials needed for projects
</li><li>Coordinating with other team members to ensure that all aspects of a project are completed on time.
</li><li>Coordinating with architects, engineers, contractors, and customers to monitor the progress of construction projects
</li><li>Recording construction details such as measurements, materials used, and building codes used
</li><li>Managing safety procedures on construction sites to ensure worker safety</li></ul></div>
 <div>What makes you remarkable?
At Wood, we are committed to equal opportunities and welcome all talented individuals to consider joining our team. So even if you don't match every statement below but feel you have some of the experience, knowledge or skills needed for this role, we encourage you to apply. It will take all of us working together to deliver solutions to the world&rsquo;s most critical challenges.
Expected:
Experience, Skills and Knowledge
Relevant qualification required
<ul><li>Degree or Diploma in relevant discipline
</li><li>Minimum 10 years of experience as PTW Coordinator responsible for overseeing the construction of large-scale projects
</li></ul>Personal Attributes
<ul><li>Role models company values, behaviors and ethics, and promotes same in others
</li><li>Significant persuasion and influencing skills
</li><li>Awareness, respect and the ability to reconcile cultural diversity
</li><li>Pursues continuous development and progression of own skills and knowledge</li></ul></div>
 <div><div>Wood is a global leader in consulting and engineering, helping to unlock solutions to critical challenges in energy and materials markets. We provide consulting, projects and operations solutions in 45 countries, employing around 25,000 people. www.woodplc.com 
</div><div></div> 
<div>Diversity Statement
</div><div>We are an equal opportunity employer that recognises the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment on the basis of objective criteria and without regard to the following (which is a non-exhaustive list): race, colour, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws.</div></div>

PTW Coordinator

Wood PLC

Bridging Care LLC

Job descriptionHelp vulnerable Medicaid members access healthcare and life-changing services.Three Ways to Qualify &mdash; One Role That MattersWashington State's Health Homes program defines three distinct qualification pathways for Care Coordinators. You do not need a clinical nursing license. What you need is the right combination of education, experience, and commitment. Bridging Care actively recruits across all three pathways.PATH 1: Degree + Experience Track■ Bachelor's or Master's degree in Social Work, Psychology, Human Services, Behavioral Sciences, or a related field■ Associate's degree in a related field PLUS 2+ years of direct community or social service experience■ Community Health Workers (CHWs) with qualifying education and experience are explicitly welcome■ No clinical nursing license required &mdash; this is a coordination and relationship role, not a clinical procedures role■ Examples of qualifying degrees: BSW, MSW, BA/BS Psychology, BA/BS Human Services, BA/BS Behavioral Sciences, and closely related fieldsPATH 2: Experience Waiver Track■ 2+ years of direct experience in ANY of the following qualifying categories:■ Community health outreach or care navigation■ Housing or social services casework■ Peer support or recovery coaching■ Medicaid or Medicare patient engagement■ Bilingual community health advocacy■ Home care or direct support work with high-needs populationsPATH 3: Certified Medical Assistant (CMA/RMA) Track■ Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) with an Associate's degree■ This is a career move, not a step sideways &mdash; Care Coordinators earn more, work with greater autonomy, and build deeper relationships than a clinic MA role allows■ CMAs with field experience are especially strong candidates: FQHC, home health, mobile clinic, managed care, or community health settings translate directly■ Clinical setting MAs are also welcome &mdash; your patient care foundation combined with your documentation skills is exactly what this role requires■ Health Home CCs do not administer medications or perform clinical procedures &mdash; they build care plans, coordinate across providers, and show up for members who have nowhere else to turn■ If you have been working in a clinic and want a role that pays more, offers more flexibility, and puts you directly in the community &mdash; this is a career move worth exploringWhat the Work Actually Looks LikeThis is a field-based, relationship-driven coordination role. A typical week includes:<ul><li>In-home and community field visits &mdash; you go where your members are, in their homes and at their clinics, building the kind of relationship no clinic appointment allows</li><li>Health Action Plan development &mdash; with each member, you build a personalized plan addressing chronic conditions, goals, and the real-world barriers between them and better health</li><li>Cross-provider coordination &mdash; you are the connective tissue between the member's doctors, behavioral health providers, housing supports, and social services</li><li>Telehealth visits and phone outreach &mdash; Tier 2 and Tier 3 visit types in addition to in-person field work</li><li>Accurate, timely documentation in OneHAP and Lead Organization systems &mdash; we train you completely on every system before you see your first member</li></ul>Backgrounds We Specifically Want to Hear From<ul><li>Community Health Workers (CHWs) &mdash; especially those with WA DOH Core Competency certification. You qualify directly. We just need to build the documentation.</li><li>Certified Medical Assistants and Registered Medical Assistants with an Associate's degree &mdash; your clinical foundation is exactly what Health Home care coordination needs, especially with field, FQHC, or community health experience.</li><li>Certified Peer Support Specialists (CPSS) &mdash; lived experience with behavioral health and substance use is exactly what our member population needs. Your credibility in the community is a genuine asset.</li><li>Housing navigators and case aide workers &mdash; if you have been doing home visits, case files, and resource navigation in any social services setting for 3+ years, your experience translates directly.</li><li>Bilingual and bicultural community advocates &mdash; Spanish, Somali, Vietnamese, Amharic, and other language communities are heavily represented in our member population. Bilingual CCs are exceptionally high-value and in short supply.</li><li>Recovery coaches and substance use outreach workers &mdash; your lived experience and community trust are not entry-level. They are an asset we cannot train.</li><li>Social work, psychology, and human services graduates with 2+ years of direct service &mdash; this role was built for your skill set.</li><li>Anyone who has been told a healthcare coordination career is not accessible to them &mdash; it may be, and we want to find out together.</li></ul>Requirements<ul><li>Washington State residency &mdash; this is a field role with in-home visits in your assigned county</li><li>Valid Washington State driver's license and personal vehicle with auto insurance</li><li>One of the three qualification pathways described above</li><li>Comfort with technology and multiple platforms &mdash; you will use EMR and documentation systems daily</li><li>Commitment to meeting clearly defined daily and weekly documentation and billing benchmarks</li><li>Home internet &mdash; you will need home internet for days you are documenting remotely</li></ul>Benefits<ul><li>Medical, dental, and vision insurance (100% company covered for employees)</li><li>Life AD&amp;D &mdash; company-paid $15,000 employee policy</li><li>11 paid holidays, 2 weeks paid vacation, 6.5 sick days, and 2 personal days</li><li>Employee referral awards</li><li>Employee discounts (movie tickets, concerts, travel, and more)</li><li>Clear performance metrics and goals from Day 1 &mdash; you always know what success looks like</li><li>Mentorship and daily supervisor support through your first 30 days</li></ul>Company Description About Us Bridging Care LLC was created as a joint venture between two 501(c)3 nonprofit organizations with a shared mission: advancing health equity through whole-person care. We are a Care Coordination Organization (CCO) that works in partnership with Department of Social &amp; Health Services (DSHS) to support members in the Washington Health Home Program.If you enjoy working hard and being part of a team that truly supports one another, you will thrive here.Job Type: Full-timePay: From $27.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Paid training</li><li>Referral program</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Which county are you located in?</li><li>Do you have a valid Washington State driver's license and a personal vehicle with auto insurance?</li><li>Do you meet at least one of the following qualification pathways: (a) a bachelor's or master's degree in Social Work, Psychology, Human Services, Behavioral Sciences, or a related field; (b) an associate's degree in a related field plus two or more years of direct community or social service experience; or (c) a Certified or Registered Medical Assistant credential plus an associate's degree?</li><li>Do you have home internet access for remote documentation work?</li></ul>Work Location: On the road

Care Coordinator/Social Worker

MarinHealth

<div>ABOUT MARINHEALTH 
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare&rsquo;s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company:
Marin General Hospital dba MarinHealth Medical Center
Compensation Range:
$44.69 - $67.03
Work Shift:
10 Hour (days) (United States of America)
Scheduled Weekly Hours:
40
Job Description Summary:
The Social Work (SW) Case Manager, in collaboration with members of the inter-disciplinary healthcare team, leads the development and implementation of the multidisciplinary plan of care for patients, determining appropriate patient status and level of care; ensuring effective quality and cost-efficient outcomes, and supervising the provision of the discharge plan of care. This position functions as the key linkage between the physician, staff, and hospital leadership in the day-to-day management of appropriate and efficient patient care and functions as an advisor to the physician with accountability to escalate cases to the Manager, Director, or Physician Advisor (as necessary) to ensure the provision of appropriate and effective patient care.
Job Requirements, Prerequisites and Essential Functions:
Job Specifications:
Education:<ul><li>
Master's degree from an accredited school of social work or social welfare required.</li></ul>
Experience:<ul><li>
Prior work experience in a healthcare environment is required. Acute care hospital experience or recent internship strongly preferred.</li></ul>
License and Certifications:<ul><li>
Associate Clinical Social Worker (ACSW) within 90 days of hire.</li><li>
Basic Life Support (BLS) required within 90 days of hire.</li><li>
Integrative Agitation Management (IAMTAC) required within 30 days of hire.</li><li>
Accredited Case Manager (ACM-SW) preferred at hire.</li><li>
Certified Social Work Case Manager (C-SWCM) preferred at hire.</li></ul>
Prerequisite Skills:<ul><li>
Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.</li><li>
Adhere to the professional ethics, practice, and Values ad delineated by the National Association of Social Workers (NASW) Code of Ethics.</li><li>
Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required.</li><li>
Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities.</li><li>
Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Strong attention to detail and accuracy is required.</li><li>
Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities.</li><li>
Demonstrated ability to work constructively with a broad spectrum of health care professionals is required.</li><li>
Must be assertive and creative in problem solving, system planning, and management.</li><li>
Proficient computer skills are required, including the use of Electronic Health Record and other IT applications. General knowledge of supervisory principles/applications is required. Must have a working knowledge of disease processes, current treatments and their physical and psychosocial sequelae.</li><li>
Knowledge of individual and family development over the life span is required.</li><li>
Knowledge of the influence of cultural and spiritual values on health care is required. Basic knowledge of applicable laws, regulations, and accreditation guidelines (e.g., CMS, DHCS, The Joint Commission, EMTALA, Title 22, and DOJ) is required.</li><li>
Basic knowledge of government and private insurance benefits (e.g. Medi-Cal, Medicare, DRGs, managed care, capitation), including reimbursement requirements is needed. Must know child, elder and dependent adult and domestic violence reporting requirements.</li><li>
General knowledge of available health care and community resources appropriate for populations served is required, broad/in-depth knowledge is preferred. Working knowledge of Inter-Qual criteria.</li></ul>
Primary Customer Served (Age Specific Criteria):<ul><li>
(X) Infants: Birth up to 1 year</li><li>
(X) Toddlers: 1 up to 3 years</li><li>
(X) Preschool Children: 3 up to 6 years</li><li>
(X) School Age Children: 6 up to 12 years</li><li>
(X) Adolescents: 12 up to 18 years</li><li>
(X) Early Adults: 18 up to 45 years</li><li>
(X) Middle Adults: 45 up to 61 years</li><li>
(X) Late Adults: 61 up to 80 years</li><li>
(X) Late, Late Adults: 80 years and up</li></ul>
Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area.
Patient Privacy (HIPAA Compliance):
Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description.
Duties And Responsibilities:
Essential (Not Modifiable)
Care Facilitation and Coordination:<ul><li>
Coordinates care for an assigned unit paired team model comprised of SW Case Manager, RN Case Manager, and Case Management Specialist.
</li><li>Works with the multi-disciplinary healthcare team to ensure the plan of care is expedited and barriers to efficient throughput are identified and corrected.</li><li>
Creates a plan of care that outlines the key interventions and outcomes to be achieved during the inpatient stay.
</li><li>Can actively lead multidisciplinary case conferences in developing comprehensive, cost-effective case management plans that span the continuum.</li><li>
Makes independent assessments and recommendations regarding course of action in complex situations and recommendations relevant to multi-system or special needs patients.</li><li>
Identifies and refers quality and risk management concerns to appropriate level for corrective action plans and trending.</li><li>
Proactively solicits physician&rsquo;s orders for services.</li><li>
Demonstrates knowledge and skills necessary to provide cultural, spiritual and age specific care by obtaining specific psychosocial information and assessing relevant information needed to identify each patient&rsquo;s unique treatment and discharge planning needs.</li></ul>
Clinical Social Work:
<ul><li>Provides psychosocial assessments and treatment to patients and or families related to adjustment to illness and discharge planning.</li><li>
Demonstrates knowledge and skills necessary to provide cultural, spiritual and age specific care by obtaining specific care information and assessing relevant information needed to identify each patient&rsquo;s unique treatment and discharge planning needs.</li><li>
Performs unit/department/program specific comprehensive psychosocial assessments, ensuring pediatric, adult and elderly patient&rsquo;s age-related needs and coping mechanisms are clearly identified.</li><li>
Acts as patient advocate and resource regarding patient&rsquo;s needs including financial considerations.</li><li>
Possesses clinical expertise to effectively assess, coordinate, implement and evaluate all services required to meet the needs of the patient.</li><li>
Provides individual, conjoint family and group therapy as appropriate to setting.</li></ul>
Collaborative<ul><li>
Maintains effective communications with staff and attending physicians related to patient&rsquo;s psychosocial and psychiatric needs.</li><li>
Maintains open communication and positive working relationships with all hospital departments as well as adheres to hospital chain of command.</li><li>
Willing to assist others and supports other hospital personnel in providing optimal patient care.</li><li>
Demonstrates a clear understanding and adheres to designated unit/department/program as well as overall policy and procedure.</li><li>
Collaborates with physicians, patients, families and treatment team members in the development of the patient&rsquo;s plan of care.</li><li>
Assist and promotes patient/family education and ensures that the patient&rsquo;s educational needs are being met.</li><li>
Works with public and private sectors (i.e. public guardian&rsquo;s office) to ensure best treatment outcomes as well as completes necessary documents consistent with Clinical Social Worker scope of practice.
</li><li>Ensures proper content, application, and submission of required legal documents impacting patient care and treatment outcomes (i.e. LPS, Probate, mandated reporting).
</li><li>Provides clinical information for placement and referral to outside agencies consistent with HIPAA and state guidelines for special needs populations.</li><li>
Interprets and cites applicable laws and regulations to staff and physicians pertinent to individual patient needs.</li><li>
Participates in meetings and committees relevant to specific treatment area/department/program and represents MarinHealth Medical Center at relevant community meetings and committees.</li><li>
Provides psychosocial education and perspective to other healthcare professionals, including nursing students or any other healthcare related practice, as indicated.</li></ul>
Discharge Planning<ul><li>
Reviews initial hospital admission and gathers additional medical, psychosocial and financial data from needs assessment, client/family, physicians, and other health care providers.</li><li>
Initiates discharge planning at the time of admission. Formulates a discharge plan after completing a face-to-face interview and discusses available/appropriate care options and obtaining input from the patient/family and physician, healthcare team, insurance companies, and community-based support services.</li><li>
Maintains and provides current information and referral services to patients, caretakers and families related to appropriate community resources and agencies.</li><li>
Independently case finds, coordinates and implements discharge plans for all patients with psychosocial needs.</li><li>
Maintains knowledge of current eligibility criteria for a wide array of community resources.</li><li>
Maintains positive working relationships with community agencies.</li><li>
Utilizes and expands knowledge base of community resources.</li><li>
Initiates contact with state, county and private resources, including family, to facilitate discharge to the least restrictive level of care.</li><li>
Provides advocacy for clients in accessing appropriate community-based resources.</li><li>
Collaborates with physicians to facilitate timely resolution of situations such as client concerns, need for referrals and discharge barriers to expedite the discharge plan.</li><li>
Acts as a resource and content expert for the physicians regarding an optimal care plan for patients.</li><li>
Identities potential problems, prevents and/or resolves variances to the case management plan. Effectively deals with resistance and conflict in working with member of the patient care team, physicians, clients, and families.</li><li>
Implements all aspects of the discharge plan of care, intervening in an appropriate and timely basis when difficulties arise. This may require documentation and follow-up with other management staff to ensure effective resolution.</li></ul>
Documentation<ul><li>
Provides accurate, clear, concise, relevant and timely documentation in patient&rsquo;s charts accordingly to individual units/departments/programs documentation system and their adherence to specific CMS and State regulations and in accordance with policy and procedure.</li><li>
Maintains consistent and clear documentation on daily assessment of patients related to care plan.</li><li>
Documents timely initial psychosocial assessment according to unit/department/program&rsquo;s standard of care.</li><li>
Documents all collateral contracts.</li><li>
Documents all screening and clinical interventions (i.e., SBIRT, AUDIT, DAST, CAGE, C-SSRS/SAFE-T, ITSS).</li><li>
Documents all discharge planning efforts, including timely insurance reviews.</li><li>
Documents treatment planning according to each units/departments/program standards by using each unit/departments/programs specific forms.</li><li>
Maintains confidentiality of privileged communication with patients and families adhering to Clinical Social Work Practice standards.</li></ul>
Department Operations and Professional Development<ul><li>
Actively participates in department meetings and operations, including process development or improvement (e.g., department orientation, internal mentor/training programs and initiates, disease and population management strategies, appropriate measures for evaluation of outcomes) and establishment of department goals, objectives, and budget.</li><li>
Ensures all applicable department and regulatory targets for productivity and department performance process improvement are attained (e.g., hospital length of stay, average cost per discharge, and re-admission rates, etc.).</li><li>
Complies with all reporting requirements for mandated, risk management, and other medical/legal situations consistent with confidentiality policies and department standards.</li><li>
Actively contributes to the development and maintenance of a care delivery system which is sensitive to individual patient needs, promotes effective resource utilization, and supports physician practice, while emphasizing coordination across the continuum.</li><li>
Positively contributes to team&rsquo;s decision-making process, effectively collaborates with other team members on interdependent tasks, and actively supports implementation of plans to accomplish team objectives.</li><li>
Prepares and conducts presentations to multidisciplinary teams related to special projects, case management, etc.</li><li>
Adheres to department and facility policies and procedures and supports philosophies and initiatives.</li><li>
Maintains accurate, current, and legible patient records using approved forms and format, according to department and entity standards, including patient assessments, plans, interventions, patient/family involvement, outside agency communications, and interdisciplinary contacts.</li></ul>
Secondary (Modifiable)<ul><li>
Other duties as assigned</li></ul>
Accommodation:
Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org. 
C.A.R.E.S. Standards:
MarinHealth seeks candidates ready to model our C.A.R.E.S. standards&mdash;Communication, Accountability, Respect, Excellence, Safety&mdash;which foster a healing, trust-based environment for patients and colleagues. 
Health &amp; Immunizations:
To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. 
Compensation:
The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth&rsquo;s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. 
Equal Employment:
All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.</div>

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