Case Manager MSW

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Make a Difference The Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring, and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager is responsible for supporting the healthcare team towards a smooth transition from one level of care to another in support of the patient/family. Exceptional Skills and Qualifications - LCSW or LSW in the State of Indiana required. - Master’s Degree in Social Work required. - 2 + years of inpatient, outpatient, or home-base social work experience required. - Experience with quality improvement methodology preferred. - Demonstrates support of the hospital vision/mission statement. - Confers with nursing staff and other ancillary patient care departments regularly regarding ongoing discharge plans and barriers or delays. - Participates in developing and implementing the goal-directed plan of care, which is prioritized and based on intermediate goals and specific outcome criteria. - Coordinates and facilitates care in a knowledgeable, skillful, and consistent manner. - Performs documentation and patient records in a timely, accurate, clear, and concise manner in the transition to quality software. - Records pertinent date in required areas for other team members to provide care/services in an efficient, continuous manner. - Demonstrates awareness and sensitivity to the rights of patients/significant others, as identified within the institutional values. - Demonstrates sound knowledge base and actions in the care and decision making for designated patient populations and seeks guidance appropriately. - Demonstrates responsibility and accountability for own professional practice. - Participates actively in staff development activities for service line care management team, and nursing department personnel. - Collaborates with nurse case manager regarding discharge planning and use of the clinical pathways. - Demonstrates self-directed learning and participates in continuing education to meet own professional development. - Demonstrates awareness of legal issues in all aspects of patient care and unit function. - Participates in management of situations in a manner that reduces risk. - Participates in development and evaluation of the care management team functions. - Participates in meetings, reports, and other activities that support the care management team functions. - Demonstrates effective communication methods and skills, using lines of authority appropriately. - Conducts discharge planning assessments on identified patients that are consistent and provide for continuity of care for the patient. - Establishes the discharge plan with the patient, physician, and care management team for identified patients. - Implements the discharge plans for patients to include referrals to home health agencies return to ECF’s transportation and any unmet needs to provide safe and appropriate transition to next level of care. - Demonstrates effective problem-solving techniques to communicate openly with members of the care management team and other staff. - Demonstrates skills as a resource and consultant to unit staff, care team members, and other staff. - Demonstrates skills as a resource and consultant to patients, families, and physicians. - Conducts effective problem‑solving as a method of sound decision making. - Performs comprehensive assessment of patient/family goals as well as assessment of biophysical, psychosocial, environmental, financial, and discharge planning needs. - Procures services and serves as advocate on behalf of patients and families. - Acts as a liaison to post-hospital care providers and community health resources. - Demonstrates knowledge and understanding of Medicare, Medicaid, and third party payer guidelines. - Completes all necessary paperwork for final disposition. - Conducts personal interviews with patient, facilitates family conference and multidisciplinary conferences to formulate discharge plans. #J-18808-Ljbffr