social worker case manager

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>

Social Worker Case Manager - MSW, Care Coordination, Full-Time, Days

Emory Healthcare

<div>Overview:
<div>
Be inspired. Be valued. Belong.</div><div></div><div> 
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:</div><ul><li>
Comprehensive health benefits that start day 1</li><li>
Student Loan Repayment Assistance &amp; Reimbursement Programs</li><li>
Family-focused benefits
</li><li>Wellness incentives</li></ul><div>
Ongoing mentorship, development, leadership programs...and more!</div>
Description:
<div>
The Care Manager is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The Care Manager will begin the process of care coordination at the time of the patient's admission by completing a thorough admission assessment and/or psychosocial assessment which will allow for a timely and accurate capture of information as well as foster the ability to begin working towards a discharge plan. The Care Manager is an integral part of the interdisciplinary care team who is required to attend rounds, care conferences, and/or care team meetings. The Care Manager will act as a representative of both the hospital care team and the patient/family in an effort to balance patient/family choice and projected care coordination needs with the ability to execute such services. The Care Manager will work with the hospital care team and the patient/family in order to plan and implement the best possible plan for the patient while taking various factors, limitations, and patient/family preference into consideration. The Care Manager will identify and recommend post-acute services and will complete referrals to appropriate post-acute care providers in a timely manner, coordinating directly with the patient/family as well as the care team. Through continuous assessment and review, the Care Manager will apply critical thinking to ensure alignment and appropriateness of post acute services as the patient clinically progresses throughout their stay. Ultimately, the Care Manager is responsible for ensuring the discharge plan is aligned to be executed with the patient's medically cleared for discharge date as well as the projected length of stay as provided by the payor. The Care Manager identifies and participates in the development of strategies to reduce unnecessary length of stay and/or resource consumption. The Care Manager escalates cases, as appropriate, to management, Physician Advisor, Complex Care team and/or Ethics committee. It is the role of the Care Manager to educate patients/families as well as the care team as it relates to post acute services, transitions of care, readmission mitigation, appropriate post-acute level of care choices and available resources. The Care Manager provides supportive and therapeutic communication for patients, families and loved ones who are experiencing anxiety or stress due to illness, injury or physical limitations. The Care Manager must communicate confidently, effectively, and therapeutically while being assertive and conveying an impression which reflects favorably upon the organization The Care Manager will initiate and facilitate discussions with the payors in order to act as an advocate on behalf of the patient and hospital in an effort to reduce non-covered, non-authorized, or denied services. The Care Manager will issue and administer notices of non-coverage and potential liability to patients in accordance with predetermined regulations, policies, and procedures. The Care Manager serves as a resource to the Physician, Interdisciplinary Care Team, and patient for the interpretation of external regulations and organizational policies and procedures as it pertains to Discharge Planning and Care Coordination. The Care Manager will ensure compliance with all regulatory requirements as it relates to Government and Commercial Payors. The Care Manager will ensure compliance with all third party payers and federal and state regulatory agencies. The Care Manager will ensure proper use of Case Management Systems and workflows.</div><div></div><div> 
Minimum Qualifications:</div><div>
RN CM: MINIMUM REQUIRMENTS 1. Valid, unencumbered Registered Nurse License approved by the Georgia Board of Nursing. 2. Two (2) years experience in healthcare. PREFERRED 1. Bachelors degree in Nursing from an accredited school of nursing.</div><div>
SW CM I: MINIMUM REQUIREMENTS 1. Masters in Social Work from an accredited school of social work. 2. Demonstrated knowledge of software/EMR applications.</div><div>
PREFERRED 1. One (1) year healthcare experience in Acute Care setting. 2. Accredited Case Manager (ACM) Certification through the American Case Management Association or Certified Case Management (CCM) through the Commission for Case Manager Certification.</div><div></div><div> 
SW CM II: MINIMUM REQUIREMENTS 1. Masters in Social Work from an accredited school of social work. 2. Licensed as a Master Social Worker (LMSW) through the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage &amp; Family Therapists. 3. Demonstrated knowledge of software/EMR applications.</div><div>
PREFERRED 1. Two (2) years healthcare experience in Acute Care setting. 2. Accredited Case Manager (ACM) Certification through the American Case Management Association or Certified Case Management (CCM) through the Commission for Case Manager Certification.</div><div></div><div> 
SW CM III: MINIMUM REQUIREMENTS 1. Masters in Social Work from an accredited school of social work. 2. Licensed as a Clinical Social Worker (LCSW) through the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage &amp; Family Therapists. 3. Demonstrated knowledge of software/EMR applications</div><div>
PREFERRED 1. Three (3) years healthcare experience in Acute Care setting. 2. Accredited Case Manager (ACM) Certification through the American Case Management Association or Certified Case Management (CCM) through the Commission for Case Manager Certification. productivity expectations and successfully complete yearly competencies.</div><div></div><div> 
JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet&reg; designated ambulatory practice. We are made up of 11 hospitals-4 Magnet&reg; designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.</div>
Additional Details:
<div>
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.</div><div></div><div> 
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare&rsquo;s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.</div></div>

Care Manager IP

Banner Health

<div>Primary City/State:
Mesa, Arizona
Department Name:
Case Mgmt-Hosp
Work Shift:
Day
Job Category:
Clinical Care<div><div><div>
The future is full of possibilities. At Banner Health, we&rsquo;re excited about what the future holds for health care. That&rsquo;s why we&rsquo;re changing the industry to make the experience the best it can be. If you&rsquo;re ready to change lives, we want to hear from you.
In the Case Manager Care Coordination position, you will have the opportunity to provide comprehensive care coordination for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Case Managers cover units throughout the hospital and generally work in multiple areas each day. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate.
SCHEDULE:
<ul><li>Full Time/ 40 Hours</li><li>
Monday-Friday
</li><li>5 Eight hour shifts</li><li>
7:00am- 4:30pm</li><li>
Every 3 weeks weekend rotation</li><li>
Holiday rotations are required in this role</li><li>
 Enjoy a flat rate $3/hour weekend shift differentia</li></ul></div></div></div>
Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and was recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 700 licensed beds, including over 100 dedicated to children and 76 dedicated to our NICU. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 33 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the da Vinci Surgical System. Becker&rsquo;s Hospital Review named Banner Desert Medical Center as one of the top 50 busiest Emergency departments in the country.
If you aim to deliver top-tier care to the most vulnerable patients, consider joining Banner Children's Hospital at Desert in Mesa, Arizona. Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a 76-bed NICU, a 24-bed PICU, six pediatric ORs and a 22-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.
POSITION SUMMARY 
This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS 
1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes. 
 
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. 
 
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care. 
 
4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 
 
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 
 
7. May supervise other staff. 
 
8. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies. 
MINIMUM QUALIFICATIONS
RN: Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (R.N.) license in state worked.
Social Worker: Requires a Master's Degree in Social Work. Requires a Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master&rsquo;s Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required. 
Requires a proficiency level typically achieved with 2 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the acute facility need. For Case Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.
PREFERRED QUALIFICATIONS 
Certification for CCM (Certified Case Manager) preferred. 
 
Additional related education and/or experience preferred.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy</div>

Case Manager Care Coordination

Five Horizons Health Services

Position Title: Medical Social Worker/Case ManagerReports To: Director of Social ServicesPosition Purposes: The Medical Social Worker/Case Manager provides affirming, respectful, and supportive care to individuals from diverse backgrounds and lived experiences. The Medical Social Worker/Case Manager is responsible for conducting biopsychosocial assessments, developing case plans, providing case management services, and working as part of the interdisciplinary health team for clients of Five Horizons Health Services (FHHS).Essential Functions:&middot; Provide direct social work services to a caseload of clients at different levels of care as dictated by their care plans to facilitate client retention in medical care&middot; Complete biannual psychosocial assessments and case plans&middot; Facilitate support groups for HIV clients&middot; Complete EFA (Emergency Financial Assistance)&middot; Collaborate with client&rsquo;s medical team to identify and address medical needs related to accessing care and treatment&middot; Participate in multidisciplinary health teams and provide feedback from the social work perspective&middot; Maintain a strong knowledge of available services to include Ryan White HIV / AIDS Program (RWHAP) Part B, AIDS Drug Assistance Program (ADAP), and Alabama Insurance Assistance Program (AIAP)&middot; Demonstrate a skilled knowledge of engagement, assessment, case planning, and monitoring techniques to maintain the helping relationship between the client and FHHS&middot; Promote client participation in the healthcare continuum through face-to-face encounters, telephone interactions, text messaging, and any other engagement techniques as needed&middot; Enhance clients&rsquo; understanding of HIV by demonstrating and relaying a skilled knowledge of HIV / AIDS, Hepatitis C, Pre-Exposure Prophylaxis (PrEP) and their effects on individuals and families&middot; Maintain required client records, document services provided, scan client documents into EHR, and complete other required paperwork in a timely manner&middot; Maintain compliance with HIPAA and state guidelines as well as FHHS policy and procedures&middot; Perform any other department / agency-related duties or special projects as directed by supervisor&middot; As with all other positions, during emergencies, the Medical Social Worker is expected to fill in at any position within the agency for which they can performEducation/Professional:&middot; Bachelor&rsquo;s or Master&rsquo;s Degree in Social Work&middot; Licensure or license-eligible at the appropriate level through the Alabama State Board of Social Work Examiners&middot; Must possess a strong ability to interact with diverse groups and cultures&middot; Strong organizational and time management skillsPhysical Requirements: Frequent sitting, some standing / walking, and occasionally lifting supplies / equipment up to 50 lbs. Occasional reaching, bending, stooping, kneeling and crouching. This position requires an individual who is mentally alert and able to effectively communicate verbally and in writing. Individuals must be able to effectively utilize Microsoft Office programming and, after necessary training, electronic health records system and Telemedicine equipment.Job Type: Full-timePay: $40,000.00 - $50,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Vision insurance</li></ul>Work Location: In person

Medical Social Worker

Encompass Health

<div>Case Manager Career Opportunity 
Recognized for your abilities as a Case Manager 
Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the leading provider of rehabilitation care in the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals in your community. Manage resources, coordinate patient care from admission to post-discharge, and oversee interdisciplinary plan-of-care decisions. This is more than a career move; it's a chance to shape a future where care and compassion converge for truly meaningful outcomes. 
A Glimpse into Our World 
At Encompass Health, you'll experience the difference the moment you become a part of our team. Working with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the &quot;World's Most Admired Companies&quot; and receiving the Fortune 100 Best Companies to Work For&reg; Award, among other accolades, which is nothing short of amazing. 
Starting Perks and Benefits 
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:<ul>
<li>Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.</li>
<li>Generous paid time off that accrues over time.</li>
<li>Opportunities for tuition reimbursement and continuous education.</li>
<li>Company-matching 401(k) and employee stock purchase plans.</li>
<li>Flexible spending and health savings accounts.</li>
<li>A vibrant community of individuals passionate about the work they do!</li>
</ul>Become the Case Manager you always wanted to be<ul>
<li>Work with interdisciplinary team, guiding treatment plans based on patient needs and preferences.</li>
<li>Coordinate with interdisciplinary team to establish tentative discharge plan and contingency plans.</li>
<li>Participate in planning for and the execution of patient discharge experience.</li>
<li>Monitor patient experience: quality/timeliness/service appropriateness/payors/expectations.</li>
<li>Facilitate team conferences weekly and coordinate all treatment plan modifications.</li>
<li>Complete case management addendums and all required documentation.</li>
<li>Maintain knowledge of regulations/standards, company policies/procedures, and department operations.</li>
<li>Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions.</li>
<li>Understand commercial contract levels, exclusions, payor requirements, and recertification needs.</li>
<li>Attend Acute Care Transfer (ACT) meetings to identify trends and collaboratively reduce ACTs.</li>
<li>Meet with patient/family per Patient Arrival and Initial Visit Standard within 24 hrs of admission.</li>
<li>Perform assessment of goals and complete case management addendum within 48 hours of admission.</li>
<li>Educate patient/family on rehabilitation and Case Manager role; establish communication plan.</li>
<li>Schedule and facilitate family conferences as needed.</li>
<li>Assist patient with timely procuring/planning of resources to avoid discharge delays or issues.</li>
<li>Monitor compliance with regulations for orthotics and prosthetics ordering and payment.</li>
<li>Make appropriate/timely referrals, including documentation to post discharge providers/physicians.</li>
<li>Ensure accuracy of discharge and payor-related information in the patient record.</li>
<li>Participate in utilization review process: data collection, trend review, and resolution actions.</li>
<li>Participate in case management on-call schedule as needed.</li>
</ul>Qualifications<ul>
<li>License or Certification:
<ul><li>Must be qualified to independently complete an assessment within the scope of practice of his/her discipline (for example, RN, SW, OT, PT, ST, and Rehabilitation Counseling).</li>
<li>If licensure is required for one's discipline within the state, individual must hold an active license.</li>
<li>Must meet eligibility requirements for CCM&reg; or ACM&trade; certification upon entry into this position OR within two years of entry into the position.</li>
<li>CCM&reg; or ACM&trade; certification required OR must be obtained within two years of being placed in the Case Manager II position.</li>
</ul></li><li>Minimum Qualifications:
<ul><li>For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN preferred. A diploma is acceptable only in those states whose minimum requirement for licensure or certification is a diploma rather than an Associate Degree.</li>
<li>For all other eligible licensed or certified health care professionals, must possess a minimum of a bachelor's degree and graduate degree is preferred.</li>
<li>2 years of rehabilitation experience preferred.</li>
</ul></li></ul><div>The Encompass Health Way
</div><div>We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
</div><div>At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.</div></div>

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