Social Work Care Manager

JOB RESPONSIBILITIES Psychosocial Assessment- Conduct a comprehensive psychosocial assessment of the patient's/family's health and psychosocial needs while exercising an intuitive understanding of complexity and uniqueness to identify strengths, challenges, and opportunities. Identify cases that meet criteria for need of care coordination through the comprehensive needs assessment. Stratifies patients to match client needs to the most cost effective model of care coordination. Exhibits advanced interviewing and therapeutic intervention skills with regard to abuse, neglect, and/or other safety risk factors. Report suspicions of abuse and neglect to legally mandated authorities for investigations. Completes documentation with accuracy and clarity. Resource Management- Partner with the patient/family/caregivers in obtaining financial assistance, community resources, and/or specialized equipment. Develops resource networks, excels at resource utilization, and acts as a resource to peers. Provide real time accurate information to patient/family/caregiver for resources for which they are eligible. Provide condition-specific and related medical, financial, educational, and social supportive resource information. Identifies needs, develops programs, and evaluates outcomes for special populations, as needed, and implements changes based on outcomes. Facilitates collaboration with community agencies to enhance investigation and intervention process. Advocates for patient population on a systems level (hospital, organization, and/or community) by developing programs and protocols to better meet the needs of the patient population. Educating patient and family to recognize progress and assist in identifying need for changes in treatment plan. Psychosocial Intervention- Provide psychosocial services as identified in the patient's comprehensive plan of care. Creates opportunities for and provides supportive counseling with the goal of maximizing emotional coping and adherence to the treatment plan. Facilitates and enhances collaboration with the referral source and appropriate members of the health care team in a timely and effective manner. Use expert knowledge and skill to educate the patient/family/caregiver and members of the health care team about evidenced-based treatment options. an expert in providing self-management support to high risk/complex patients/families to increase their skills and confidence to effectively manage their chronic care conditions at home. Identifies needs, develops programs, and evaluates outcomes for special populations as needed, and implements changes based on outcomes. Motivates and empowers patients/families/caregiver through the use of anticipatory guidance and planning to reduce or eliminate psychosocial barriers to discharge. Is seen as a leader in initiating and facilitating family centered care team meetings. Demonstrates a therapeutic approach focusing on micro and macro systems including assessment and crisis intervention with the goal of problem prevention. Interdisciplinary Collaboration- Working for system improvement, promoting patient/family/caregiver well-being. Advocates for patient population on a system level (hospital, organization, and/or community) by developing programs and protocols to better meet the needs of the patient population. Is seen as a resource and initiates liaison role between the patient/family/caregiver within the medical team and outside agencies. An expert in mediating as needed within the medical team on behalf of the patient/family/caregiver. Empower the patient/family/caregiver to problem-solve by exploring options of care when available and alternative plans, when necessary, to achieve desired outcomes. Develops processes for effective and efficient communication and coordination between members of the health care team while involving the patient/family/caregiver in the decision making process in order to minimize fragmentation of services. Coordination- Facilitates communication and coordination between members of the health care team (including the medical home and community services), involving the patient/family in the decision-making process in order to minimize fragmentation in the services. Attends and leads care conferences. Insures that key components of the plan of care and/or patient needs are communicated to subsequent care providers and ensure safe handoffs. Ensures the health care team integrates multiple sources of health care information and communicates this summary, thereby building caregiver skills and fostering relationships between the health care team and families. Demonstrates an understanding of legal and regulatory issues (HIPPA, EMTALA, regulatory agencies, CMS, legal P&P) impacting the care delivery and reimbursement process. Negotiates and advocates for the patient for services and resources needed. Provides patient/family education regarding post-acute services, community resources or other as needs identified. Creates an environment to support patient safety by integrating patient safety goals into daily practice based of the patient's age and the population served. JOB QUALIFICATIONS Bachelor degree in related field. Master's degree in Social Work (preferred) 5+ years of work experience in a related job discipline. Requires LISW licensure Primary Location South Campus Schedule Full time Shift Day (United States of America) Department PS Network Staff Employee Status Regular FTE 1 Weekly Hours 40 *Expected Starting Pay Range *Annualized pay may vary based on FTE status $74,297.60 - $94,744.00 About Us At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding Recognized as one of America’s Best Large Employers (2025), America’s Best Employers for New Grads (2025) One of the nation's America’s Most Innovative Companies as noted by Fortune Consistently certified as great place to work A Leading Disability Employer as noted by the National Organization on Disability Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability Completion of Application You will be asked to fully complete each page of the application to the best of your knowledge. Failure to complete all parts of the application will result in a delay in processing and/or rejection of the application. Need Assistance or Accommodation? Assistance with Application: For assistance or technical support, email View email address on click.appcast.io. Accommodation: We provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require an accommodation in the application process, email View email address on click.appcast.io.