Social Worker Case Manager
About the role
Provides ambulatory case management services to identified HUHS patients through research, patient interviews, monitoring of care utilization patterns, and development of care plans. Collaborates with clinical staff to provide a comprehensive outpatient care plan. Communicates with treating clinicians on areas of concern and provides clinical updates regularly. Participates in ensuring that UHS is at the forefront of applying Case Management principles. Educates medical staff on criteria/guidelines as appropriate. Works with the team leader to identify areas of concern in clinicians' practice patterns and assists in developing resolutions. Identifies potential quality of care issues. Assists in the development of reports and resources required by other departments.
Responsibilities
- Provide ambulatory case management services to identified HUHS patients
- Conduct research, patient interviews, monitor care utilization patterns, develop care plans
- Collaborate with clinical staff to provide comprehensive outpatient care plans
- Communicate with treating clinicians on areas of concern and provide regular clinical updates
- Participate in ensuring UHS applies Case Management principles
- Educate medical staff on criteria/guidelines as appropriate
- Work with team leader to identify concerns in clinicians' practice patterns and assist in developing resolutions
- Identify potential quality of care issues
- Assist in developing reports and resources required by other departments
Requirements
- Massachusetts LICSW or LCSW licensure (LMHCs, LSWs not accepted); LICSW requires full credentialing prior to start
- Minimum of three years of social work experience in a medical setting
- Familiarity with managed care and case management principles
- Familiarity with care needs of medically complex children, adults, and geriatric populations
Skills
- Excellent organizational skills
- Analytical skills
- Problem‑solving skills
- Interpersonal skills