Job Location : Sault Sainte Marie,MI, USA
* Sign on bonus may be available for qualified candidates *
* Competitive Wages *
* Benefit package for eligible employees *
The Master of Social Work (MSW) Case Manager plays a pivotal role in maintaining the quality of care patients receive during medical centerization and post discharge while ensuring the organization is fully reimbursed. The MSW Case Manager (CM) must have a high level of expertise and skill to create highly effective strategies for short term and long-term goals in order to prevent readmissions and address unpredictable situations. MSW CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and consulting with the physician and the health care team to ensure accuracy of medical necessity criteria and to ensure timely and appropriate level of care is achieved. This requires effective skills in conflict resolution, decision making and team building. The MSW Case Manger practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. The MSW Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally. The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role. The social worker is responsible for assessing the patients psychosocial spiritual needs, education and counseling.
Responsibilities:
(30%)* Provide social work intervention as it relates to hospitalization including crisis management, health care decision making, illness adjustment, ethical/legal concerns, discharge planning, and transitional care needs, child or elder abuse, domestic violence, competency, financial problems, compliances issues, substance abuse, mental illness as well as other psychosocial barriers to maximizing health status.
(30%)* Work with health care team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self? determination for the patient system, to formulate a cohesive plan for maintaining the patients health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources.
(20%)* Collaborate with the physician in competency/capacity determination, obtaining legal guardianship, involuntary psychiatric admission, adoptions, ethical concerns, etc. Complete and disseminate all necessary legal and clinical documentation as needed for resolution.
(20%)* Collaborates with all members of the Care Management Team including physicians, nurses, health information analysts, and others to provide information relating to admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily basis.
Certifications and Licensures:
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Equivalent Experience -
Required Education:Education: Masters Degree
Comments: Limited License MSW employees must be actively working to obtain full licensure. These employees must pass licensing exam and work 4,000 hours supervised by a LMSW. Certification in Case Management preferred. Recommended that the Case Manager receives their ACM certification after two years of experience.
Other Information:EXPERIENCE, TRAINING AND SKILLS:
Training and experience, and/or demonstrated competency in casework principles, including diagnosis, assessment, crisis intervention, treatment and transition planning; techniques in individual, family and group therapy; awareness of community resources, public assistance and entitlement programs, ensuring transition to appropriate levels of care; and issues relating to age and stage of development, special needs and cultural patterns of the patient populations being served.
Knowledge of medical social work practices, processes and procedures as normally acquired through three years experience working in a medical center (preferred), social agency or community organization dealing with physical and/or mental health and/or welfare. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.
Adherence to the National Association of Social Workers Code of Ethics.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Membership in at least one professional organization (i.e. NASW, Society for Social Work Leadership in Health Care (SSWLHC)?MI Chapter, national SSWLHC, etc.) preferred.
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