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 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.
Education:
Bachelor of Social Work (required) Master's degree in social work or healthcare related field (preferred)
Licensure/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)
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)
Training:
None Skills and Abilities:
Hard/Tech/Clinical Skills:
Social Work Care Management Ethics End of Life Ethics Patient Advocacy Clinical Supervision Microsoft office Ability to prioritize many simultaneous demands and tolerate frequent interruptions.
Soft/Interpersonal Skills:
Attention to detail Critical thinking Communication with family members Conflict resolution Active listening Relationship building Effective problem solving Teamwork Open to change Collaboration Communication Displays empathy Negotiation skills Time management Prioritization Roper St. Francis Healthcare is an equal opportunity employer. As a Roper St. Francis Healthcare teammate, you're part of a Misson that matters. We support your well-being - personally 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, HAS/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, and short- and long-term disability Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status.
Department:
Case Management - Berkeley Hospital It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@RSFH.com. Welcome to the Roper St. Francis Healthcare career portal! If you've visited us previously, please note accounts created before December 18, 2023 are no longer active and a new account must be created. Thank you for your patience as we transition to a new system to enhance your candidate experience! Why choose Roper St. Francis Healthcare? Roper St. Francis Healthcare is lauded as one the best places to work in healthcare and here's why you should choose a career with us: We have a lot to be proud of We're the first choice for healthcare among Lowcountry families. We've been trusted with our neighbors' health and wellness for generations. And as our community grows, we continue to expand our services and open our arms to provide care to our friends and family members who need it most. We are vibrant and growing With 6,000 employees, we're the Lowcountry's second-largest private employer. We have nearly 1,000 doctors representing almost every medical specialty, and our 657-bed system consists of more than 100 facilities and services across five counties. In short, there is plenty of room for growth and ever-expanding job opportunities. We are committed to excellence Roper St. Francis Healthcare rewards exceptional performance and invests in supporting our staff. From nurses to technicians and administrative professionals, our employees share our commitment to putting patients first. We recruit and retain the most qualified workforce without regard to age, sex, race, religion, color, national origin, sexual orientation, gender identity, handicap or disability. We offer generous employee benefits Roper St. Francis Healthcare offers an excellent benefits package for our full-time employees. We offer several options for health plans, a generous retirement plan, and educational opportunities to further your career.
