21,016 Medical Case Management jobs in the United States

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Aetna is an industry leader in serving eligible populations by utilizing best-in-class operating and clinical models in our programs.
We collaborate with members, providers, and community organizations in pursuit of quality solutions that address the full continuum of our members' health care and social determinant needs.
The Case Management (CM) Medical Director will participate in executing and deploying our Models of Care across all assigned markets.
This is a work from home position with 2 Regions located in Eastern Time Zone and 1 Region in Central Time Zone. The ability to work either of those Time Zones is Highly Preferred.
They will facilitate active and impactful care coordination focused on care transition, communication between members, physicians and internal/external business partners to ensure program design effectiveness, member safety and quality of care delivery.
Join us in this exciting opportunity as we grow and expand into new markets across the country.
**Primary Duties and Responsibilities:**
- Provides clinical oversight of the case management teams and the Interdisciplinary Care Team (ICT) processes by participating in the development of members' Individual Care Plans (ICP) and assisting case management staff as they support of members' physical, behavioral and socioeconomic needs.
- Provide clinical guidance for Long Stay, Palliative Care, Transition of Care and/or other CM clinical initiatives/rounds.
- Contribute to strategies, tactics and programs for case management and community engagement of members, community partners and providers to create unique local strategies as needed.
- Leverage available clinical platforms for case review; i.e. EPIC Everywhere
- Provide clinical guidance and leadership to CM & clinical team colleagues (SW & Pharmacy).
- Collaborates with the Learning and Performance Team to develop clinical training for case management staff such as 5 "Clinical Pearls" ppt presentations yearly.
- Provider outreach to collaborate & solution around member needs
- Provide CM NP with guidance and oversight on Clinical rounds case prep, case selection, provider & member outreach when warranted.
- Provides clinical review and adjudication of MCR Appeals case when needed - Professional Development: oversee and manage 1 Regional CM initiative in collaboration and guidance of CM SMD.
- Ensures timely execution of all deliverables in accordance with due dates and Federal/state regulatory requirements.
- Travel to Provider, Member Meetings as indicated
**Required Qualifications**
- Active and current medical license (MD or DO) without encumbrances
- Board Certification including Maintenance of Certification in Family Practice, Internal Medicine, or Geriatrics
- Post-graduate 5 years of direct patient care experience
- Flexibility with work schedule to meet business needs
- 3-5 years of Managed Care experience; Medicare highly preferred
- 3-5 year of Case Management experience
- Ability to work effectively in a highly matrixed organization / environment
- Ability to engage at all levels, including physicians, vendors, community partners, administrative leaders, clinical leaders and staff.
- Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm
- Ability to work virtually with occasional travel for in person Member and Provider Meetings (10%)
**Education**
MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine)
**Pay Range**
The typical pay range for this role is:
$174,070.00 - $374,920.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 08/29/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Requirements

Saint Francis Hospital and Medical Center is looking for LCSW / LMSW Social Worker to join our Case Management team. The Social Worker is responsible for assessing and providing direct Social Work services and interventions to patients and families in the hospital setting upon admission and throughout discharge. This position supports the OB clinic and Womens Health.

You Will Be Responsible For:

* Provide ongoing case management support to the patients.
* Assesses patient's needs and develops discharge care plans.
* Communicate effectively with staff, colleagues, patients, and family members.
* Utilizes standard Social Work intervention techniques collaborating with patients and families.
* Work as a resource to other staff members.

Minimum Requirements:

* MSW degree from an accredited School of Social Work required.
* CT State Social Work Licensure LMSW or LCSW preferred.
* Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.
* Knowledge of Medicare, Medicaid, and managed care regulations and trends
* Experience with utilization management, home care, community resources, and rehabilitation beneficial.

Highlights

* Great benefits effective on first day
* Engaged supportive Leadership.
* Mission-Driven Team Environment
* Full Time 40 Hours with weekend rotation

About Trinity Health Of New England | Saint Francis Hospital and Medical Center:

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Work Experience

Minimum Requirements:

* MSW degree from an accredited School of Social Work required.
* CT State Social Work Licensure LMSW or LCSW preferred.
* Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.
* Knowledge of Medicare, Medicaid, and managed care regulations and trends
* Experience with utilization management, home care, community resources, and rehabilitation beneficial.

Highlights

* Great benefits effective on first day
* Engaged supportive Leadership.
* Mission-Driven Team Environment
* Full Time 40 Hours with weekend rotation

**Job Requirements**

Saint Francis Hospital and Medical Center is looking for **LCSW / LMSW Social Worker** to join our Case Management team. The Social Worker is responsible for assessing and providing direct Social Work services and interventions to patients and families in the hospital setting upon admission and throughout discharge. This position supports the OB clinic and Womens Health.

**You Will Be Responsible For:**

+ Provide ongoing case management support to the patients.

+ Assesses patient's needs and develops discharge care plans.

+ Communicate effectively with staff, colleagues, patients, and family members.

+ Utilizes standard Social Work intervention techniques collaborating with patients and families.

+ Work as a resource to other staff members.

**Minimum Requirements** :

+ MSW degree from an accredited School of Social Work required.

+ CT State Social Work Licensure LMSW or LCSW preferred.

+ Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.

+ Knowledge of Medicare, Medicaid, and managed care regulations and trends

+ Experience with utilization management, home care, community resources, and rehabilitation beneficial.

**Highlights**

+ Great benefits effective on first day

+ Engaged supportive Leadership.

+ Mission-Driven Team Environment

+ **Full Time 40 Hours with weekend rotation**

**About Trinity Health Of New England** **_|_** **Saint Francis Hospital and Medical Center** **_:_**

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

**Our Commitment to Diversity and Inclusion**

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

**Work Experience**

**Minimum Requirements** :

+ MSW degree from an accredited School of Social Work required.

+ CT State Social Work Licensure LMSW or LCSW preferred.

+ Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.

+ Knowledge of Medicare, Medicaid, and managed care regulations and trends

+ Experience with utilization management, home care, community resources, and rehabilitation beneficial.

**Highlights**

+ Great benefits effective on first day

+ Engaged supportive Leadership.

+ Mission-Driven Team Environment

+ **Full Time 40 Hours with weekend rotation**

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran

**Job Requirements**
Saint Francis Hospital and Medical Center is looking for **LCSW / LMSW Social Worker** to join our Case Management team. The Social Worker is responsible for assessing and providing direct Social Work services and interventions to patients and families in the hospital setting upon admission and throughout discharge. This position supports the OB clinic and Womens Health.
**You Will Be Responsible For:**
+ Provide ongoing case management support to the patients.
+ Assesses patient's needs and develops discharge care plans.
+ Communicate effectively with staff, colleagues, patients, and family members.
+ Utilizes standard Social Work intervention techniques collaborating with patients and families.
+ Work as a resource to other staff members.
**Minimum Requirements** :
+ MSW degree from an accredited School of Social Work required.
+ CT State Social Work Licensure LMSW or LCSW preferred.
+ Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.
+ Knowledge of Medicare, Medicaid, and managed care regulations and trends
+ Experience with utilization management, home care, community resources, and rehabilitation beneficial.
**Highlights**
+ Great benefits effective on first day
+ Engaged supportive Leadership.
+ Mission-Driven Team Environment
+ **Full Time 40 Hours with weekend rotation**
**About Trinity Health Of New England** **_|_** **Saint Francis Hospital and Medical Center** **_:_**
Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.
**Our Commitment to Diversity and Inclusion**
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
**Work Experience**
**Minimum Requirements** :
+ MSW degree from an accredited School of Social Work required.
+ CT State Social Work Licensure LMSW or LCSW preferred.
+ Certification in case management (CCM) and certification in Continuity of Care - advanced (ACCC) preferred.
+ Knowledge of Medicare, Medicaid, and managed care regulations and trends
+ Experience with utilization management, home care, community resources, and rehabilitation beneficial.
**Highlights**
+ Great benefits effective on first day
+ Engaged supportive Leadership.
+ Mission-Driven Team Environment
+ **Full Time 40 Hours with weekend rotation**
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran

**Facility:** Grossmont Hospital
**City** La Mesa
**Department**
**Job Status**
Regular
**Shift**
Day
**FTE**
1
**Shift Start Time**
**Shift End Time**
Master's Degree; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences
**Hours** **:**
**Shift Start Time:**
8 AM
**Shift End Time:**
4:30 PM
**AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
As Needed
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$41.440 - $3.470 - 65.490
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
**What You Will Do**
The Case Management Social Worker provides appropriate patient/family counseling for issues related to life changes, negative family dynamics, community resources and assistance with application for alternative funding, income related sources and initiates the patient outcome reporting process. The Social Worker receives referrals from the Case Manager.
**Required Qualifications**
+ Master's Degree in Social Work.
+ 1 Year discharge planning experience.
+ 3 Years medical social work experience including patient/family counseling.
**Preferred Qualifications**
+ Hospital experience.
+ California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences -PREFERRED
**Essential Functions**
+ Collaboration and communicationMaintains required social work credentials in good standing.Complies with the Standards of Case Management Practice for Case Managers, Code of Professional Conduct for Case Managers, Code of Professional Conduct for Case Managers, NASW Standards and Sharp Grossmont Hospital.Complies with all operational policies.Participates in facility in-service activities that promote greater understanding of the case management process.Demonstrates ongoing willingnessto increase case management knowledge base.Appropriately receives constructive guidance from immediate supervisor.Represents the facility to other healthcare professionals, current and potential referral sources and the general public in accordance with the mission and philosophy of Sharp Grossmont Hospital.Preserves the basic human right of expression, decision, action and personal dignity for all patients/families.Respects the cultural diversity of all patients/families and employes of Sharp Grossmont Hospital.
+ Department improvementProvides input in the development and improvement of departmental policies.Attends and participates in the monthly departmental meetings including case review presentations.Demonstrates knowledge of and adherence to departmental policies.
+ Government resource coordinationIdentifies appropriate service agencies addressing identified needs of patient/family.Obtains necessary application information to appropriate agency services.Upon family request, assist in the application processes and facilitates forwarding of applications to appropriate agencies.Meets with patient/family when they request assistance to determine status of agency application when social worker assistance has not been utilized.Keeps Case Manager apprised of agency applications and status.
+ Psychosocial servicesProvides appropriate patient/family counseling within the scope of social work practice.Collaborates with the Case Manager, RN, or MD to identify psychological needs beyond the scope of social work practice and identify resources to meet these needs.Collaborates with the Resource Center in obtaining necessary approval from payor to make referrals to appropriate sources for services beyond the scope of social work practice.Collaborates with the Resource Center to develop objective documentation to demonstrate neessity for referral to psychosocial resources unavailable throught regular benefits.Provides updates to Case Manager as appropriate and to interdisciplinary team related to patient/family issues that may effect the inpatient stay and/or discharge plan.Maintains ongoing communication with patient/family.Acts to assertively manage inpatient cost related to psychosocial issues while collaborating with the Case Manager to appropriately move the patient along the continuum of care.
+ Referral managementCollaborates with Case Manager in utilizing the six (6) essential activities of case management when referral is received.Assesses the patient's social services needs by collecting in-depth information, from all available resources, about the patient's situation and functioning to identify individual needs in order to assist in the development of a comprehensive case management plan that will address those needs.Plans action oriented and time specific objectives and goals designed to meet the client's needs as identified through the assessment process.Implements the social service plan that will lead to accomplishing the goals set forth in the case management plan.Coordinates by organizing, securing, integrating and modifying the resources necessary to accomplish the goals set forth in the case management plan.Monitors the plan in an ongoing process by gathering sufficient information from all relevant resources about the plan in order to determine its effectiveness.Repeatedly evaluates, at appropriate intervals, the effectiveness of the plan in reaching the desired outcomes and goals while modifying any or all components of the plan as necessary.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

The County of Riverside - Riverside University Health System-Medical Center is seeking highly skilled and experienced Registered Nurses to join our team as a Health System Nurse Case Manager with the UR Case Management Department.

The most competitive candidates for this role will have a strong background in hospital case management and utilization review management. Experience with or a thorough knowledge of InterQual criteria is highly preferred, as it will enhance the candidate's ability to evaluate and coordinate care effectively.

Highly Preferred Qualifications:

• Acute Hospital Case Management and Utilization Review experience is highly preferred.
• Case Manager Certification (CCM)
• Interqual experience/Interqual certification a plus
• Knowledge in electronic health record systems (EPIC)
• Knowledge of healthcare regulations and reimbursement processes.

Work Schedule:

• Hours to be determined by the department.

Meet the Team!
To find out more about Riverside University Health System, please visit:
Within the full scope of the Nursing Practice Act, plan, implement, coordinate, monitor, and evaluate medical services; provide nursing case management, discharge planning and utilization review services to patients; act as department resource for medical inquiries, claim file reviews and utilization review.

• Coordinate and monitor patients through the hospitalization process utilizing physicians, nurses, other healthcare providers, and third-party payors to maintain quality care and fiscal responsibility; monitor completion of healthcare services to avoid delays in care and discharge; facilitate third party reimbursement approval and/or authorization.

• Provide and coordinate community-based medical post-discharge activities for patients provide early medical management intervention for new patient illness/disease, consulting on medical only files and utilization review on all requests for medical treatment; review the post-hospital care plan with the patient/family; follow plan through to discharge.

• Evaluate healthcare services of requesting physicians based on the appropriateness of the service and the level of care at which service would be delivered; act as a neutral advocate for patients; act as a resource to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post-discharge care.

• Perform utilization review in concert with the utilization review physician to approve, delay, modify, or deny treatment.

• Perform medical reviews on patient services claims and provide recommendations, which are preemptive and focused on moving the patient along the healing continuum.

• Apply clinical expertise as a resource to case management staff, physicians, nurses, and other healthcare providers to identify the best results while coordinating the appropriate resource utilization; identify and manage patient problems to eliminate duplication and fragmentation of healthcare services.

• Counsel and advise patients regarding proper healthcare methods.

• Assist in the development of policies and procedures, standards of care and practice, and in the monitoring of those standards to ensure regulatory compliance, as required by the Joint Commission, Centers for Medicare and Medicaid Services, and the State of California Department of Health Care Services.

• Prepare and maintain concise, complete records and reports, including post-discharge documentation.

• Promote collaboration among hospital interdisciplinary departments, programs, and physicians; represent the Case Management and Utilization Review Department when needed in hospital committee meetings.

• Provide orientation and training to new staff; identify staff training needs.

• Participate in quality assurance and performance improvement reviews.

• May testify in court as to the client's mental and physical condition.Health System Nurse Case Manager I:
Pay Range: $50.3605/hour to $7.9456/hour

Education: Successful completion of the coursework required to obtain a valid license to practice as a Registered Nurse in the State of California.

Experience: Three years of full-time experience as a Registered Nurse in an acute care facility, mental health facility or community health agency with references and evaluations to show appropriate skill level. Additional qualifying experience as a full-time Licensed Vocational Nurse (LVN) may substitute for the required Registered Nurse experience up to three years on the basis of two years of full-time experience as an LVN equaling one year of full-time Registered Nurse experience. Licensed Vocational Nurse experience must be in an acute care setting within a hospital. One year of experience in Case Management and/or Utilization Review is preferred. (A bachelor's degree from an accredited college or university in nursing may substitute for one year of the required experience.)
Health System Nurse Case Manager II:
Pay Range: 55.1731/hour to 83.1586/hour

Option I: Education: Successful completion of the coursework required to obtain a valid license to practice as a Registered Nurse in the State of California.

Experience: Four years of full-time experience as a Registered Nurse in a managed care, acute care facility, mental health facility, or community health agency setting that includes a minimum of one year of experience in Case Management and Utilization Review.

Option II: Education: Graduation from an accredited college or university with a bachelor's degree in nursing.

Experience: Three years of full-time experience as a Registered Nurse in a managed care, acute care facility, mental health facility, or community health agency setting that included experience in Case Management and Utilization Review.

Option III: Education: Graduation from an accredited college or university with a master's degree in nursing.

Experience: Two years of full-time experience as a Registered Nurse in a managed care, acute care facility, mental health facility, or community health agency setting that included experience in Case Management and Utilization Review.

All Options: Knowledge of: Case management and utilization review principles and practices; payor source documentation requirements and governmental regulations affecting reimbursement, managed care, and healthcare issues and standards; application of the nursing process; full range of Registered Nurse duties and responsibilities; community resources available to provide patient care and follow-up; federal, state and local laws and regulations governing professional aspects of nursing; principles and methods of supervision and training; problem solving techniques.

Ability to: Plan, organize, supervise, and evaluate nursing services on specific unit(s); communicate effectively; positively manage change and conflict; interpret licensure and accreditation standards; analyze and draft department policies and procedures; apply productive problem-solving skills; write clear and concise reports; perform Registered Nurse or public health nurse responsibilities according to the State of California Nursing Practice Act; implement the nursing process.

Other Requirements for Level I and II:
License: Must maintain a current, valid license to practice as a Registered Nurse in the State of California.
Must possess a valid Basic Life Support (BLS) certification issued by the American Heart Association for professional healthcare providers.

Additional Requirement for Health System Nurse Case Manager II:
Certificate: Must maintain a current an d valid Case Manager Certificate. What's Next?
Open to All Applicants
This recruitment is open to all applicants.
Applicants who are current County of Riverside employees and/or current employees of the RUHS Division may be considered before other applicants depending on the volume of applications received.

Application Period
BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.
Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment. No late applications will be permitted.
Include relevant work experience details on resume and/or application.
Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.

Qualified applicants may be considered for future vacancies throughout the County.

Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

For more information regarding this position, please contact the recruiter, Denise DeCamp via email at

Job Category:

Behavioral Health, Counseling, and Clergy

Work Shift/Schedule:

Varies

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

The Case Management Social Worker is responsible for the provision of medical social work services to patients receiving care in the hospital setting. Assesses the social, psychological, cultural, environmental, and financial situation, as well as disposition needs for each referred patient. Collaborates with RN Case Manager, patients, families, healthcare team members, and community agencies to develop and implement plans to address identified needs. Evaluates effectiveness of plans and initiates change as needed. Uses crisis intervention, problem solving model, community organization, and advocacy skills in identifying needs and resources in the hospital and community. This position will come in contact with patients in the neonate, infant, child, adolescent, adult, and geriatric age groups; Employees will perform clinical duties in accordance with population specific guidelines and adhere to National Patient Safety Guidelines. Provides cross coverage for all Social Workers as required across all settings in the care continuum, including weekend rotation (as needed).

Minimum Job Qualifications

* Licensure or other certifications:


* Educational Requirements: Masters Degree in Social Work from an accredited School of Social Work; licensure preferred.


* Minimum Experience: One (1) year experience in a hospital preferred, agency or institution providing related health care services.


* Other:



Preferred Job Qualifications

* Preferred Licensure or other certifications: CCM (Case Management Certification) or ACM (American Case Management Certification) preferred.


* Preferred Educational Requirements:


* Preferred Experience:


* Other:



Job Specific and Unique Knowledge, Skills and Abilities

* Excellent communication skills, exhibits a positive attitude


* Social Work assessment and counseling skills


* Knowledge of state and federal programs that provide medical care and financial support to individuals, knowledge of community resources


* Ability to work with diverse patient and staff populations


* Ability to work independently and amicably in group situations


* Conversant with current thinking on professional conduct and practice


* Must have strong clinical assessment, intervention, and counseling skills across all age ranges; child, adolescent and adult


* Ability to work with individuals of varying cultural and socio-economic backgrounds


* Knowledge of Long Term Care regulations, financial eligibility and admission criteria


* Knowledge of adoption and surrogacy policies and regulations


* Demonstrates the ability to think 'outside of the box' and consistently create new, and effective solutions to today's problems and opportunities


* Demonstrates the minimum knowledge, skills, and abilities to care for the individualized needs of the patient.



Essential Tasks and Responsibilities

* Uses a family systems theory framework to gather information, to include, patient's social, psychological, cultural, environmental and financial situation. Identified legal, financial, social, educational, and environmental factors which may affect medical care and/or discharge plans. Informs team members of critical information that will affect patient's stay while in the hospital and / or discharge plan. Assesses and assures appropriate reporting of any potential/actual abusive relationship, such as child/adult abuse, neglect or domestic violence. Assesses upon request an psychiatric/ substance abuse disorders and initiates or assists in arranging appropriate intervention and referrals for treatment upon discharge.


* Uses SBIRT techniques which allows for an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels with the goal of reducing and preventing related health consequences, disease, accidents and injuries.


* Expedites the discharge plan through excellent networking and team skills within the patient's expected length of stay per working DRG. Provides patient advocacy and ensures patient's Freedom of Choice and Medicare's Important Message. Attends multidisciplinary rounds to ensure timely communication with the team.


* Receives referrals for appropriate placement (NH, SNF, Assisted Living, LTAC, Acute Rehab etc., from Case Manager or Care Coordinator). Reviews patient information from the electronic record. Interviews patient and/or family for preference of facilities and secures signatures on Freedom of Choice form. Completes DMA 6 where required and obtains appropriate signatures. Updates any changes in insurance, demographic information, patient level of care, etc. Ensures appropriate discharge documentation is available to accompany patient to the facility. Stays in touch with the team, patient and family regarding post acute plans. Coordinates appropriate transportation.


* Assist with the application process for indigent medications working specifically with indigent programs and pharmacy assistance programs. Assists patients /families with the process to ensure community resources are obtained for discharge to lower level of care, to include homeless resources. Continuously seeks new community resources and keeps team informed.


* Provides therapeutic support for patients and families by listening to verbal communications and observing non-verbal behaviors. Assists patient and family in understanding medical plan of care and discharge plan. Facilitates support groups as needed.


* Provides support to the cases managers for difficult discharge placements and for immigrants that require placement outside the USA.


* Encouraged to participate on community-based committees. Encouraged to participated on hospital committees as related to post acute care services. Encouraged to participate on system-wide service projects. Facilitates support groups as requested.


* Responds to calls/referrals/consults within 24 hours. Communicates in a respectful manner. Responds to calls with appropriate resources or manages the call in a satisfactory manner. Contacts supervisor and other resources for assistance when needed. Completes all documentation related to actions taken.


* Performs clinical duties in accordance to NASW Code of Ethics.


* Works all scheduled shifts, including weekend rotation, remote coverage and on-call schedule.



Physical Demands

* Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time


* Weight Carried: Up to 50 lbs, Occasionally 0-30% of time


* Vision: Moderate, Frequently 31-65% of time


* Kneeling/Stooping/Bending: Occasionally 0-30%


* Standing/Walking: Constantly 66-100%


* Pushing/Pulling: Occasionally 0-30%


* Intensity of Work: Constantly 66-100%


* Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding



Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job works collaboratively to maintain patient safety and provide for the delivery of basic patient care under the direct supervision of a licensed nurse. May provide constant observation of the patient and notifies nursing personnel of changes in behavior or status and when leaving the room, and intervenes as needed to maintain patient safety. Communicates effectively with co-workers, patients, family and visitors. Performs all functions delegated by the nurse staff and adheres to policies and procedures.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

Preferred - High School diploma or equivalent.

Work Experience

Preferred- Hospital and telemetry experience.

Certifications

Required - Current state of practice Certification as a Nurses' Assistant (CNA); Basic Life Support (BLS) from the American Heart Association to be obtained within 30 days from hire; Crisis Prevention and Intervention (CPI) to be obtained within 30 days from hire.

Knowledge Skills and Abilities (KSAs)

• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Excellent organizational skills.
• Excellent time management skills.
• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability).

Job Duties

• Supports the plan of care as delegated by staff nurse within scope of skills verification.
• Maintains a clean and safe environment in the patient care area.
• Provides care based on physical, psychosocial, educational, safety and related criteria, appropriate to the ages of patients served in assigned areas.
• Communicates patient care needs effectively with patients, families, and other staff members, including multi-disciplinary teams.
• Completes documentation of patient related tasks.
• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Performs other related duties as assigned.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Duties performed routinely require exposure to blood, body fluid and tissue.

The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. The incumbent has an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Are you ready to make a difference? Apply Today!

Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.

Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.

Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at (select option 1) or . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

PER DIEM PACU PCT POSITION, BLS REQUIRED

Job Summary:

An unlicensed caregiver who maintains a safe and clean environment for patients and Health Care team members. Transport patients with proper technique. Transport equipment, supplies and specimens. Provide environmental sanitation as required.

Essential Responsibilities:

• Environmental support: Transports specimens to appropriate departments per hospital standards. Cleans all flat surfaces and floors in each operating room between surgical procedures. Cleans all used surgical litters, stretchers, and redresses them for use. Available for spot cleaning or assistance with spills of blood, body fluids, or MSDS listed fluids. Provides environmental sanitation as required by charge nurse. Provides as needed environmental sanitation for common areas (e.g., bathrooms, break room).


• Daily Surgical Service: Prepares the operating rooms prior to the first surgical procedure of the day. Trnasports surgical patients to the operating room. Demonstrates the use of good body mechanics and provides for patient safety when transferring, turning lifting, or assisting in positioning patients. Performs other duties as assigned by operating room staff. Provides surgical skin preparation using proper equipment, techniques, using standardized guidelines, or physicians orders as guidance. Communicates with patients in a courteous and helpful manner. Establishes and maintains communication with the health care team.


• Adheres to all infection control policies taking all appropriate precautions to provide a safe environment for patients and all health care team members. Provides direct assistance with the activities required to begin subsequent surgical procedures. a) Return unneeded surgical equipment to its appropriate storage area. b) Obtain required equipment needed for upcoming surgeries. c) Assist with opening sterile surgical supplies. Understands the basic surgical aseptic technique. Transports patients to the operating suite for surgical procedures and to the unit after recovery.


• Ancillary support: Responsible for daily testing and/or recording of results for a variety of mandated requirements (e.g. cidex sticks, refrigerator charts). Responsible for monthly inventory and control of expired surgical supplies. Restocks all common areas maintaining order, cleanliness, and stock levels. Rotates any expiration-dated supplies restocked. Provides transport of supplies and equipment to and from other departments with the hospital.


• Ongoing development: Demonstrates initiative and responsibility for improving skills and expanding knowledge through continuing education or on the job learning experience.

Basic Qualifications:

Experience

• N/A

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Nursing Assistant Certificate (Washington) required at hire

• Basic Life Support required at hire

Additional Requirements:

• N/A

Preferred Qualifications:

• Able to obtain nursing assistant certification shortly after hire/transfer.


• Two (2) years of hospital experience.

PrimaryLocation : Washington,Seattle,Capitol Hill Main Building
HoursPerWeek : 1
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 10:00 AM
WorkingHoursEnd : 08:30 PM
Job Schedule : Call-in/On-Call
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : J02|SEIU|SEIU Local 1199 Service Unit
Job Level : Individual Contributor
Job Category : Clinical Support
Department : Central Campus Main - Day Surgery-Recovery Room - 1130
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.