Social Work (SW) Care Manager Plus - Palliative Care

Responsibilities

• Conduct outreach to pediatric patients and caregivers to support enrollment, engagement, and timely collection of health and psychosocial information.
• Educate families on available support services and community resources.
• Screens for social determinants of health and identify urgent health, safety, or welfare concerns using established protocols.
• Escalate priority concerns to RN or Social Work Care Managers and route cases appropriately.
• Maintain a caseload of low-risk patients and support continuity of services in alignment with productivity standards.
• Assist families with accessing community resources, completing applications, and addressing barriers such as transportation and appointment adherence.
• Track referrals, follow-up activities, and service connection status.
• Share relevant patient information with RN and SW Care Managers in accordance with departmental workflows.
• Support care managers with scheduling, task tracking, and case organization.
• Aid in data collection, quality improvement initiatives, and program reporting.
• Collaborate with interdisciplinary care team members, providers, and community agencies to coordinate family-centered care and transitions.
• Document all patient interactions, needs, and outcomes accurately in compliance with organizational, regulatory, and confidentiality standards.

Qualifications

• Education: Master's degree in social work from an accredited Social Work academic program is required.
• Licensure: Current, unrestricted licensure as a Licensed Social Worker (LSW) in Ohio is required.
• Certification: Certification by a nationally recognized care management organization is preferred.
• Experience: Minimum 2 years of clinical experience in healthcare required. Experience in pediatric, ambulatory, care management and/or managed care is preferred.

Skills

• Knowledge of pediatric health conditions, family dynamics, and child development principles applied through family-centered, trauma-informed, and culturally competent methodology.
• Strong psychosocial assessment, crisis intervention, critical-thinking, and motivational interviewing skills with ability to manage and prioritize caseload effectively.
• Excellent communication and collaboration skills with a commitment to quality improvement and cost-effective care delivery.
• Familiarity with healthcare systems, insurance processes, and community resources.
• Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Epic software or similar EMR software is preferred.

Benefits

Our comprehensive benefits will help you thrive personally and professionally.