Licensed Social Worker (LSW) - Case Management - Fairfield

Social Worker Care Manager Case Management - Fairfield Hospital

The Social Worker Care Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. They also provide clinical supervision to peers, Social Workers, and students.

Essential Job Functions

• Identifies and prioritizes patients in need of social services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors. Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes. Monitors and revises the plan as indicated when patient condition changes.
• Completes all necessary documentation. Maintains clear, concise, and timely documentation in the patient record to reflect the needs of the patients.
• Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning. Ensuring patient's and caregiver's treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.
• Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.
• Supports denial prevention related to medical necessity through addressing/removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.
• Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment. Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.
• Works in collaboration with revenue cycle partners to help remove barriers to ensure patients are in the appropriate classification as guided by the physician.
• Works in conjunction with patient access to ensure all regulatory letters are delivered to the patient in a timely manner.
• Participates in department clinical outcome projects as well as process improvement initiatives within the care management department.
• Works collaboratively with peers to achieve facility and department goals and daily work as evidenced by appropriate and timely communication which is respectful and clear.
• Shares responsibilities, promoting team-based approach to accomplish work.
• Strong collaborative partnerships with other members of the care team.
• Supports and follows compliance rules and regulation as mandated by CMS and Conditions of Participation for discharge planning and utilization management. Addresses opportunities or potential concerns with leadership.
• Stays abreast of community resources available to facilitate state patient transitions of care and remains current on clinical advancements related to primary patient population.
• Provides supervision for other social workers and students as appropriate.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

• BLS Basic Life Support American Heart Association (required)
• Licensed as a Social Worker in state of practice (required, preferred in VA)
• Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)

Education

• Bachelor of Social Work (required)
• Master's degree in social work or healthcare related field (preferred)

Work Experience

• 1 year of experience in clinical setting (required)
• 3 year of experience in an acute care clinical setting (preferred)
• Ambulatory or post-acute, care coordination experience (preferred)

* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-beingpersonally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.