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Intermountain Healthcare ED Social Work Care Manager - LCSW/CSW - Primary Children's ED Care Management - Full-time - Days/Nights in Salt Lake City, Utah

Job Description:

The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management.

EXTERNAL CANDIDATES QUALIFY FOR A $1000.00 SIGN ON BONUS

Position Details:

This role will work Day and Night shifts, with weekend and holiday requirements.

This role will be a part of the ED Care Management Team at Primary Children's.

Salary is based on licensure and experience.

Job Essentials

Identifies patient populations using specific screening criteria including psychosocial screen, medical record review or through referrals for service per department policy/guidelines includes trigger list, timeframes for assessing patient, and pre-screen criteria. Review of medical records, focused reports and/or referral information to gather relevant data per department guidelines. Obtains additional necessary information by interviewing the patient/family/significant other (SO). Assesses patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care is developed and maintained for members receiving care management services consistent with COP/NCQA and department standards.

Coordinates and facilitates communication among the member/caregivers /representative, members of the healthcare team, and other relevant parties (e.g. referral physicians, community organizations, post-acute providers, other payers, Sales Team, Employer Groups, etc.). Coordinates with appropriate individuals to help ensure consults, testing, procedures are sequenced in a manner that is appropriate to patient clinical condition and supports timely and efficient care delivery. Care Management will actively intervene and resolve/escalate where barriers to service exist across the care continuum. Maintains a current knowledge of community resources. Where necessary performs cost benefit analysis and coordinates authorizations for appropriate level of care. May diagnosis various mental, emotional and behavioral disorders using DSM 5 guidelines. Provides supportive, crisis and other social work interventions as identified. Coordinates and collaborates with external agencies including DCSF, APS, and law enforcement when abuse, neglect or exploitation is suspected or confirmed. May provide therapeutic modalities appropriate to the level of care. Acts within the scope of the Mental Health Practice Act.

Minimum Qualifications

Master's Degree in Social Work. Education must be obtained from an accredited institution. Degree will be verified.

Certified Social Worker (CSW) license in state of practice.

  • or -

Current State Licensure as a Licensed Clinical Social Worker (LCSW).

Two years of clinical care management or social work experience.

  • and -

Basic computer skills and knowledge of word processing and spreadsheet software.

  • and -

Strong written and verbal communication skills.

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Demonstrated ability to exercise critical thinking skills.

Preferred Qualifications

Case Management Certification.

Experience working in clinical care management, social work or with third party payers.

  • and -

Knowledge of care management.

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Knowledge of health insurance related products.

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Working understanding of coding, episode of care and length of stay guidelines.

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Written and verbal communication skills.

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Ability to work independently, be self-motivated, have a positive attitude, and be flexible in a rapidly changing environment.

Social Worker-Certified

The Certified Social Worker (CSW) utilizes clinical expertise to perform psychosocial assessment and develop/ implement a plan of care/treatment plan that provides extraordinary care for the patient while being sensitive to costs and resources. This position works collaboratively with patients, patients' family/significant other, healthcare providers, insurers, community resources, and other involved parties to identify patients' needs, broker services, coordinate care and transition plans, and advocate for patients. The CSW performs these duties under the direct supervision of an LCSW.

Job Description

Scope

Provides care appropriate to assigned patient population as established with the plan of care/treatment plan and in accordance with professional licensure. This care may take place at a hospital, facility, clinic, inpatient, outpatient or home care setting.

Job Essentials

Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility. Completes documentation as required.

Performs social work consultation for patients and caregivers. Conducts psychosocial assessments. Under supervision of a licensed clinical social worker (LCSW), provides supportive, crisis, bereavement and other social work interventions as necessary.

Educates, communicates, and coordinates with multiple patient care teams and outside agencies as necessary to ensure the patient receives quality care, a timely discharge, and to identify and resolve delays and issues.

Acts as an advocate on behalf of patients and families, where appropriate, to ensure effective communication with multidisciplinary care team, outside agencies and other resources as necessary.

May provide psychotherapeutic modalities appropriate to the level of care under the supervision of a licensed clinical social worker.

Completes timely and accurate documentation in the medical record using knowledge of documentation standards for the department to facilitate communication with team members. Documentation is done in compliance with all clinical guidelines and billing/reimbursement standards.

May ensure that productivity standards and expectations are met.

Credentialing through medical staff office and peer review requirements may apply if working in the behavioral health setting.

Credentialing through medical staff office and peer review requirements may apply if working in the behavioral health setting.

May provide support and debriefing under the supervision of a licensed clinical social worker, in conjunction with the Employee Assistance Program, for staff members following adverse events.

May identify patients at risk for potential avoidable delays, extended stay, readmission, financial or complex discharge needs. Coordinate with care providers and leaders to reach optimal solutions.

Provides support and education to patients, families and staff members on Advance Directives.

May maintain an active role in denial prevention. Proactively intervenes with payers to prevent inpatient denials. Communicates any necessary information to payers to help appeal existing denials.

May coordinate the discharge planning process from patient admission to departure. Screens for and assess patient needs, develop a discharge plan, and coordinate with internal and external services for care during and after the hospital stay.

Works under identified LCSW and actively participates in required supervision through scheduled meetings, consultations, and chart reviews as indicated.

Note: The Certified Social Worker Intern License can be utilized for up to 24 weeks (6 months) while employees are working toward preparing, testing, and passing the State Boards examination (obtaining an CSW license). After that 24 week period, or if the CSW Graduate fails the State Board exam a second time, the employee can no longer remain in the CSW-I License. These employees can apply for any open jobs they qualify for, including jobs requiring a certification the employee currently holds (i.e. SSW, psych tec, etc.). Failure to either pass boards or to be hired into another job will result in termination.

Minimum Qualifications

Master's Degree in Social Work. Education must be obtained from an accredited institution. Degree will be verified.

Current State Licensure as a Certified Social Worker or

Certified Social Worker Intern

Computer skills (email, word processing, and spreadsheets).

Preferred Qualifications

Experience working with in a healthcare setting.

#LI-SM1

Physical Requirements:

Interact with others requiring the employee to communicate information.

  • and -

Operate computers and other office equipment requiring the ability to move fingers and hands.

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See and read computer monitors and documents.

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Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location:

Primary Childrens Hospital

Work City:

Salt Lake City

Work State:

Utah

Scheduled Weekly Hours:

36

Equal Opportunity Employer

Intermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply.

Thanks for your interest in continuing your career with our team!

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