Case Management Social Worker / Nurse Case Manager - Weekday PRN

Key Responsibilities

• Cookbook coordinate discharge planning and post-acute care needs for assigned patients.
• Conduct timely initial and follow-up assessments to identify medical, psychosocial, financial, and discharge barriers.
• Collaborate with physicians, nursing, social workers, case managers, and other interdisciplinary team members to support patient progression.
• Aid with utilization management, medical necessity review, and appropriate patient status determination.
• Educate patients and families regarding discharge plans, community resources, and available support services.
• Serve as a patient advocate while supporting safe and quality-driven transitions of care.
• Communicate barriers to discharge, delays, payer concerns, and other key case management factors to the appropriate team members.
• Maintain accurate and timely documentation in accordance with hospital, state, federal, and regulatory guidelines.
• Support process improvement efforts related to length of stay, readmissions, discharge times, patient flow, and overall case management metrics.
• Provide excellent customer service and professional hand-off communication.

Minimum Qualifications

• Social Worker Pathway: Bachelor’s degree in Social Work required. LSW in the state of Kentucky preferred. Minimum of one year of clinical experience preferred, preferably in an acute-care setting. Knowledge of discharge planning, social work concepts, community resources, and performance improvement preferred.
• Nurse Case Manager Pathway: Graduate of an accredited nursing program required. Associate degree in Nursing required; Bachelor’s degree in Nursing preferred. Current Kentucky RN license required. Minimum of three years of acute care experience preferred, with one year of case management experience preferred.

Preferred Qualifications

• ACM or CCM certification preferred, but not required.
• Current BLS certification through the American Heart Association preferred.
• Working knowledge of Medicare, Medicare Advantage, Medicaid, commercial insurance, and other third-party reimbursement processes preferred.
• Strong organizational, problem-solving, customer service, and communication skills.
• Ability to work in a fast-paced environment while maintaining professionalism, confidentiality, and a patient-centered approach.