28,486 Association Of Social Work Boards jobs in the United States

Profession: Case Management
Specialty: Case Management
Job Type: Travel
Minimum Guaranteed Hours: 40

4 days x 10 hrs
*** Contract begins after 5/17/25
Reg Nurse (Single State) or RN - Multi-state Compact
Basic Life Support or BLS - Instructor
Minimum 1 year nursing experience in the acute care setting. Required

Status: Full Time

Shift: M-F 7-3:30 with option for remote work

Exempt: No

Summary:

The Case Management Assistant will work collaboratively with the healthcare team, under the direction of the RN Case Managers, Social Workers, and Utilization Review Nurses to assist with the continuum of care, discharge planning, and authorization for hospital services.

Other information:

FACTORS RELATING TO THE JOB

A. Experience, Knowledge and Skill

1. Previous Experience Preferred:

Clerical experience or customer service experience is preferred.

2. Specialized or Technical Education Required:

Required: High school graduate or equivalent

Preferred: Medical Assistant training.

3. Manual or Physical Skill Required:

None

4. Physical Effort Required:

Strength: Sedentary

Push: occasionally

Pull: occasionally

Carry: occasionally

Lift: occasionally

Sit: frequently

Stand: frequently

Walk: frequently

Responsibilities:

Under the direction of the RN Case Manager and/or Social Worker:

1. Prepare and fax referral packets for post-acute care and any home medications with necessary documentation/information to appropriate company/facility.
2. Follow up on referrals by phone to ensure receipt of referral to intended company/facility and ensure all necessary information/documentation was provided.
3. Receive and respond to all fax/phone requests from facilities/companies and provide pertinent information to acquire approval/placement for patient's needs.
4. Contact insurance company for patients to acquire authorization and preferred placement/DME/transport information.
5. Verify patient personal information at bedside as needed for discharge needs.
6. Document all steps/conversations/information obtained, with patient/patient family members/facilities/agencies throughout the process of consult and placement/arrangement of needs in the medical record.

1. Communicate clinical review information via fax and/or phone to all third party utilization review companies
2. Maintain and document third-party payer authorizations, contacts, and transactions for individual patients
3. Facilitate the insurance denial appeals process by entering appropriate documentation into patient accounts and Auth/Cert page.
4. Facilitate peer-to-peer reviews and maintain log on Case Management drive.
5. Drop charts through EPIC CareLink to all appropriate payors when requested
6. Prepares and communicates census reports to payer representatives

1. Notify the RN Case Manager/Social Worker assigned to a patient of new orders for consultation.
2. Update all lists of post-acute providers quarterly and distribute to department staff.
3. Work in conjunction with Program Assistant to ensure medical record requests are provided timely to payer Utilization Review staff.

PRN (On Call As Needed)

Shift: Days p)

General Summary

Plans, organizes and implements social work for patients and families. Works in a team model to address patient care needs.

Essential Functions:

• Assesses patients/families in need of psycho-social support throughout the patient's hospitalization and assists patients who require care coordination or community resources referrals. Advocates for patient self-determination and appropriate level of care.

• Identifies discharge plan by making arrangements for psycho-social, psychological and practical assistance across the continuum of care. Actively engages the patient and family in the assessment, problem solving and referral process including transfer and discharge plans.

• Notifies patient/clinical team of potential referrals, documents on the medical record in a timely fashion: psycho-social assessments, identified plan, barriers, changes and progress toward plan completion. Notifies final outcome and patient satisfaction.

• Interacts with the interdisciplinary team in the development of the treatment/discharge plan addressing the patient's/family's psycho-social support.

• Coordinates family meetings. Assists patients and families in navigating the healthcare system.

• Performs a variety of functions to address patient's psycho-social needs with referrals for counseling, community services, protective services, and financial assistance referrals (MA application).

Common Expectations:

• Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).

• Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.

• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.

• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

• Prepares and presents utilization data analysis as required.

• Develops and initiates educational programs regarding utilization management principles.

• Attends meetings as required, and participates on committees as requested.

Qualifications

Minimum Education:

• Bachelors Degree Must be degreed in social work or social welfare per PA Act 68 of 2008. Required

Work Experience:

• Less than 1 year Relevant experience. Required

Licenses:

• Basic Life Support Upon Hire Required

• Licensed Social Worker Upon Hire Preferred

Knowledge, Skills, and Abilities:

• Excellent interpersonal/communications skills.

• Basic computer skills.

• Able to maintain confidentiality.

• Able to act in a professional manner.

• Maintains job competency.

#LI-KB1

Quality of Life

Franklin County, named after Benjamin Franklin, was officially formed in 1784. One of its two main towns, the borough of Chambersburg, lies 13 miles north of Maryland and is known for its "green, safe environment." In the southern part of Franklin County, the borough of Waynesboro sits just two miles north of the Mason-Dixon Line and is known for its rich industrial history.

Franklin County is in the heart of Central Pennsylvania, where you'll find mountains, lakes and a picturesque countryside coupled with theater, music, skiing, hunting, fishing and much more. We're in the heart of America's fruit orchards, so peaches, apples and lots of other local produce are available close by. The area features local wineries and breweries, along with a vibrant arts scene at the historic Capitol Theatre and Totem Pole Playhouse. Franklin County merges the best of small-town friendliness with easy access to metropolitan areas. (Patient population: 154,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

Overview

• Rockford, Illinois
• PRN or Pool flexible schedule

The Case Management Social Worker assesses and assists with complex psychosocial needs of patients, by providing specialized services to address problem-solving and coping behaviors in the acute care setting. The MSW, in collaboration with Patient Navigators and the multidisciplinary team, coordinates services and interventions to promote appropriate utilization of resources and to contribute to improved patient satisfaction and outcomes. The MSW provides complex discharge planning as needed. The MSW is a strong patient advocate and acts as a resource to other department staff as well as other hospital departments in meeting the needs of the complex patient. The MSW intervenes with at-risk patients that require the highest level of continuing care services while ensuring compliance with regulatory standards of care at the organizational, state and federal level.

Essential Duties and Responsibilities

• Provides psychosocial assessment, intervention and facilitates referrals to community resources to patients in a variety of care settings.
• Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions that may include crisis intervention, emotional support as well as grief and bereavement services.
• Promotes coping skills and healthy lifestyle changes.
• Assesses patients, for transitional planning needs, including any barriers to discharge, family and social supports, capacity for self-care, adaptive abilities and financial resources.
• Develops individualized, patient-focused plan for meeting continuing care needs.
• Provides education and presents resource options available to patients and families.
• Reviews and assists patients to complete advance directives.
• Organizes, conducts and participates in patient care conferences, to promote understanding of medical recommendations, compliance with the medical care regimen, assist families to understand comfort measures and facilitate family decision-making.
• Provides education, support and counseling to patients/families in regards to issues related to adaptation to the patients' diagnosis/illness/treatment and or life situation.
• Communicates effectively with patients, families and the healthcare team, to ensure that the patient's right to self- determination is met.
• Maintains detailed knowledge of community resources to effectively address patient needs and help to strengthen patient's network of social support.
• Documents plan of care, interventions, patient choices and progress toward goals in a timely and concise manner.
• Facilitates crisis intervention services in the hospital setting as determined by scope of practice.
• Identifies and reports child and/or elder abuse to local authorities according to law.
• Act as a liaison with county officials for patients involved with protective services, aging, developmental disabilities, domestic violence, mental health services and economic support.
• Maintains current knowledge and awareness of payer/reimbursement practice and regulations impacting the patient's plan of care.
• Negotiates care issues as appropriate (indigent issues and availability of resources).
• Promotes customer satisfaction and intervenes at critical moments of service.
• Monitors inpatient readmissions for specialized intervention.
• Provides follow-up for cases as needed.
• Assist with identifying avoidable day information for organizational tracking and trending.

Education and Experience

Masters degree in Social Work from an accredited college or university.
Two years related experience and/or training in acute care setting.

Certification and Licensure

APSW License in state of practice required.

Case Management Certification (ACMA) preferred.

Skills and Abilities
Phone Skills
Must be skilled with use of voice mail and phone features. Must be able to use available technology for language interpretation.
Computer Skills
Must have expert knowledge of Allscripts Care Management program and Epic EMR. Must be able to use Microsoft Outlook and have basic knowledge of Excel and Word. Must be able to toggle between computer applications.

OTHER QUALIFICATIONS
Must be available to work and or be on-call during weekends and holidays, as assigned. On-call requires accessibility by pager or cell phone during assigned hours and ability to respond promptly to pages by phone.

Special Physical Demands

While performing the duties of this Job, the employee is frequently required to sit, talk, and hear. The employee is occasionally required to stand, walk, handle, finger, feel, and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include frequent close vision and occasional distance vision and ability to adjust focus. Specific fine motor abilities required include writing, keyboard entry and mouse use.

Level of Supervision

Assignments are based on abilities and are normally received in the form of results expected and due dates. Only general procedures are available to guide work. Must be able to work independently with minimal guidance.

Supervises

This job has no direct supervisory responsibilities but acts as a consultant for SW staff in the department.

Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:

* Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.

* Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.

* Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.

* Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.

* Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.

* Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.

36 HOUR MIDNIGHTS POSITION: 7:00P TO 7:30AM

Coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. Responsibilities: Creates plan for care across the continuum, integrating patient/family preferences and values.| Serves as a resource to assess, evaluate, recommend and treat legal, neglect, substance abuse, crisis, psychosocial and various adjustment needs.| Advocates for resources and removal of barriers.| Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan.| Acts as a resource for adequate medical record documentation, complex level of care recommendations, and services as they relate to diagnoses, and treatment options for post-discharge care.

Licensure / Certification / Registration: -

One or more of the following required: - Counselor credentialed from the Michigan Board of Counseling obtained prior to hire date or job transfer date. - Social Worker credentialed from the Michigan Board of Social Work obtained prior to hire date or job transfer date. Any level accepted. - Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: - Bachelor's degree required. - Master's degree preferred. - Behavioral Health experience preferred

• Organization: Henry Ford Health St. John Hospital
• Department: Social Service 001
• Shift: Night Job
• Union Code: Not Applicable

• Department: Case Management
• Schedule: 0.6/Day Shift (8:00am-5:00pm with every 8th weekend rotation)
• Hospital: St. Elizabeth
• Location: Appleton, WI

• Create plan for care across the continuum, integrating patient/family preferences and values.
• Monitor patient care through assessments, evaluations and/or patient records.
• Advocate for resources and removal of barriers.
• Maintain ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan.
• Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care.

• One or more of the following required:
  • Licensed Clinical Counselor credentialed from the Wisconsin Board of Marriage & Family Therapy, Professional Counseling & Social Work obtained prior to hire date or job transfer date.
  • Social Worker credentialed from the Wisconsin Board of Marriage & Family Therapy, Professional Counseling & Social Work obtained prior to hire date or job transfer date.
• Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred.

• High School diploma equivalency with 2 years of cumulative experience OR Associate'
  
  degree/Technical degree OR 4 years of applicable cumulative job specific experience required.

• Create plan for care across the continuum, integrating patient/family preferences and values.
• Monitor patient care through assessments, evaluations and/or patient records.
• Advocate for resources and removal of barriers.
• Maintain ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan.
• Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care.

• One or more of the following required:
  • Licensed Clinical Counselor credentialed from the Wisconsin Board of Marriage & Family Therapy, Professional Counseling & Social Work obtained prior to hire date or job transfer date.
  • Social Worker credentialed from the Wisconsin Board of Marriage & Family Therapy, Professional Counseling & Social Work obtained prior to hire date or job transfer date.
• Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred.

• High School diploma equivalency with 2 years of cumulative experience OR Associate'
  
  degree/Technical degree OR 4 years of applicable cumulative job specific experience required.

• Department: Case Management
• Schedule: Full Time Days, Monday - Friday 8:00AM - 4:30PM, Some holidays required
• Work Location: UAB St. Vincent's East
• Benefits for eligible positions only include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more

• Create plan for care across the continuum, integrating patient/family preferences and values.
• Monitor patient care through assessments, evaluations and/or patient records.
• Advocate for resources and removal of barriers.
• Maintain ongoing dialog with supervisor and other health providers to ensure effective implementation of health plan.
• Act as a resource for adequate medical record documentation, appropriateness of services as they relate to diagnoses, and treatment options for post-discharge care.