Social Work Case Manager-Multi Visit Patient Program

Position Summary / Career Interest:

The Ambulatory Social Work Case Manager has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services as established by the healthcare team and executed by the case manager. Responsible for the psychosocial assessment of patients, coordination of care and linkage to community resources and providing emotional support to patients and their families. Ensure appropriate decision makers are informed of and involved in treatment planning. Apply pertinent state and federal regulations regarding documentation and reporting requirements. The Social Work Case Manager identifies, monitors, and reports opportunities for quality and performance improvement to the appropriate department. The Social Work Case Manager takes an active role in performance improvement activities as it relates to their area of assignment.


Responsibilities and Essential Job Functions

• Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice. Follows policies, procedures, and standards; complies with Corporate Compliance program. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs job specific responsibilities and demonstrates accountability for own actions and decisions.
• Acquires and maintains knowledge and competence related to the expectations of their position and practices within their scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
• Completes psychosocial assessments of patient/family situations including social, psychological, emotional, financial and other related factors to facilitate patients’ linkage to resources to support care in the community.Identifies and utilizes all relevant information (medical/nursing needs, social work knowledge base, disease process, knowledge of community resources) to accurately and thoroughly assess the patient’s psychosocial situation.
• Evaluates psychosocial and medical/nursing information to determine an appropriate social service action/ plan of care.Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan and linkage to resources
• Participates in interdisciplinary team meetings as needed.
• Initiates and participates in family conference to determine psychosocial and community resource needs.
• Participates in Care Team meetings by providing relevant and discipline specific information to the entire healthcare team and coordinating any linkage to services on identified areas.
• Advocates on behalf of patients and caregivers for identification and access to services. Advocates for the protection of the patient's health, safety and rights. Ensures patient choice and consistently supports a patient centered environment.Provides supportive counseling to assist patients/families in adjusting to disability and illness, and for realistic planning for care in the community.
• Demonstrates a caring, positive regard for others by clarity of speech, use of understandable terminology and utilizing active listening skills.
• Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating the options available. Demonstrates ability to balance cost and quality to assure the optimal clinical and financial outcomes.
• Documents appropriate information in the patient’s medical record to ensure communication of patients’ psychosocial needs for care in the community.Documentation includes initial contact and follow-up action plan.
• Documentation includes psychosocial assessment of patient/family including previous living situations.
• Documentation includes telephone calls and meetings with significant others and allied professionals.
• Documentation includes all family and/or team conferences.
• Documentation includes response to interventions and referrals within 24 working hours.
• Contributes to the financial viability of hospitals.Works in partnership with physician and clinic nurses to ensure timely linkage to services.
• Utilizes established procedures and appropriate resources in working with third party payors to ensure safe and timely coordination of care.
• Participates in the case management activities at assigned site.
• Participates in professional development activities.Attends workshops, conferences or seminars suggested by Manager.
• Completed the objectives identified on last performance appraisal.
• Identifies professional development needs and pursues educational opportunities.
• Participates on hospital task forces and committees.
• Attends and participates in department meetings.
• Acts as a preceptor for new team members.
• Assists in training of new team members.
• Seeks clinical supervision when needed.
• Demonstrates flexibility and teamwork among case management staff members.Assists peers in the event of fluctuating caseloads.
• Provides coverage to other clinic areas as needed or as requested by Manager.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Masters Social Work in Social Work from an accredited college or university.

Preferred Education and Experience

• Experience in a health care setting.

Required Licensure and Certification

• Licensed Specialist Clinical Social Worker(LSCSW) - State Board of Behavioral Sciences OR
• Licensed Masters Social Worker(LMSW) - State Board of Behavioral Sciences
• State of Kansas Social Work license.

Knowledge Requirements

• Basic computer skills required.

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.