PT SW Care Manager - some weekend requirement
About the role
Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
Affords patients and families emotional, social, and financial support during their hospital stay, and mobilizes family/community resources to meet identified needs.
Communicates with and educates patients and families regarding the emotional, social, and financial impacts of illness, and advocates for patient and family empowerment in making health care decisions and accessing needed services.
Responsibilities
- Affords patients and families emotional, social, and financial support during their hospital stay, and mobilizes family/community resources to meet identified needs.
- Communicates with and educates patients and families regarding the emotional, social, and financial impacts of illness, and advocates for patient and family empowerment in making health care decisions and accessing needed services.
- Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
- Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
- Participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
- Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission.
- Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
- Provides patient and family advocacy, and supports patient’s choice and patient rights during hospitalization.
- Communicates with payors to obtain patient’s needs for authorization for post-acute care as needed.
Requirements
Master's degree in a related field [Required]
2+ years of care management experience [Preferred]
2+ years of social work experience [Required]
Skills and Abilities
- Excellent interpersonal communication and negotiation skills [Required]
- Critical thinking and problem-solving skills [Required]
- Pychosocial assessment skills [Required]
- Customer service skills [Required]
- Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
- Effective organizational skills [Required]
- Computer proficiency with Outlook e-mail and electronic medical records [Required]
- Flexible in a complex and changing healthcare environment [Required]
- Understanding of pre-acute and post-acute venues of care and post-acute community resources [Required]
- Maintains a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources [Required]
- Strong interview, assessment, and organizational skills [Required]
- Leadership skills [Required]
- Data analysis skills [Required]
- Current working knowledge of discharge planning, utilization management, care management, performance improvement and managed care reimbursement [Preferred]
- Knowledge of state and federal guidelines pertinent to Care Management [Preferred]
- Knowledge of state and federal guidelines pertinent to care management [Preferred]
Qualifications
Accredited Case Manager (ACM) [Preferred]
Certified Case Manager (CCM) [Preferred]
Benefits
Commensurate with experience
Pay
$26.89 - $50.01
Schedule
Part time Shift Day (United States of America)