Care Manager – Complex

Care Manager – Complex

Requirements

• Master’s degree in Social Work from an accredited program is required
• Current valid LCSW license or SWC or LSW required at hire with LCSW required within 3 years of employment
• Bachelors Degree in Nursing (BSN) Required
• Current valid State RN License is required
• Three (3) years experience as a Registered Nurse in an acute care setting or Social Worker in a community or acute care setting
• Three (3) years experience as a Care Manager in an acute care setting.

Responsibilities

• Coordinates the care and services for patients identified as needing assistance or meeting Care Management criteria.
• Collects in-depth information about a patients medical, functional, and social condition, to identify individual needs in order to develop a plan to meet those needs.
• Works with patients and family/caregivers to determine specific goals and actions based on assessment.
• Coordinates discharge planning.
• Executes specific interventions to meet established goals.
• Organizes, integrates and coordinates the necessary resources to accomplish the goals and plan.
• Assesses the patients prior level of functioning, access to and/or use of community resources and available support systems.
• May conduct psychosocial needs assessments and interventions based on site guidelines, licensure, and scope of practice.
• May support behavioral health processes based on site guidelines.
• Assists the care team in developing a plan of care which includes, but is not limited to: assuring appropriateness of services and care setting, assuring individualized support and education, determining the need for continued services, planning for discharge, and identifying and connecting patients/families with available community resources if needed.
• Collaborates with Physicians and other members of the health care team on the patients behalf.
• Identifies appropriate admission and continued stay issues. Enhances the quality of patient care through effective and efficient use of resources.
• Helps to identify strategies for reducing length of stay and appropriate utilization of services.
• Utilizes criteria including clinical pathway data and implements strategies to resolve controllable variances.
• Attends, facilitates and participates in rounds and case conferences.
• Advocates for patient rights.

Preferred Qualifications

• At least five (5) years of care management in an acute care setting
• Care Management Certification is preferred