Inpatient Care Manager - MSW

Job Duties

• Conducts comprehensive assessments at the patient entry to determine anticipated length of stay, discharge needs, and resources; develops and implements individualized plans of care and transition plans in collaboration with the multidisciplinary team.
• Coordinates safe and timely discharge planning, including securing post-acute authorizations, arranging transportation, homecare, and facility placements, and facilitating transfers when needed.
• Monitors and manages patient progress through daily review, participating in multidisciplinary rounds, initiative-taking identification and resolution of barriers to discharge.
• Advocates for patients and families, addresses clinical, educational, and psychosocial needs while ensuring their preferences are reflected throughout the care continuum.
• Collaborates with multidisciplinary healthcare teams and provides the patient and/or family in the development and implementation of plans.
• Coordinates team and/or family conferences when necessary to facilitate patient’s care progression.
• Refers patient/significant other to community-based services/resources to meet patient’s continuum of care needs.
• Develops and maintains knowledge of Medicare, Medicaid, and key payer benefits and reimbursement methodologies.
• Assists patients/families with self-management through education via in person visits, telephonic and electronic engagement and encourages and supports patient adherence to their discharge care plans.
• Communicates effectively with physicians, patients, families, and team members to facilitate referrals, authorizations, and resolution of medical necessity issues and coordination of transition and discharge planning.
• When necessary, initiates medical assistance application in a timely manner, as needed, or ensure medical assistance application has been initiated by identified external agencies, as needed. Follows up with identified external service regarding application.
• Maintains current knowledge of Medicare, Medicaid, and other payer systems, including benefits, reimbursement methodologies, and conditions of participation.
• Delivers required regulatory notices, within established times (as applicable to facility).

Minimum Qualifications

• Master’s Degree in Social Work.
• Less than 1 year experience In an MSW internship program.
• Ability to incorporate strategies for interacting with persons from diverse backgrounds.
• Ability to set priorities to coordinate care plans efficiently
• Knowledge of computer applications and analytical tools.
• Proven leadership skills.

Preferred Qualifications

• Familiar with EHRs: EPIC.
• ACM - Accredited Case Manager - American Case Management Association within 3 Years or CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years

Additional Qualifications

Colleague's working in the state of New Jersey only, are required to hold one of the following licenses upon hire: LSW or LCSW.