Case Management Social Worker

• Rockford, Illinois
• Full-time Schedule
• Benefits Eligible

The Case Management Social Worker 2 (MSW) coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The MSW provides services and support to patients and families who are referred to Social Services or by case finding. The MSW provides discharge planning as needed. The MSW is a strong patient advocate. Working in collaboration with the Patient Navigator and the Multidisciplinary team, the MSW assesses and intervenes with high risk patients that require a high level of continuing care services while ensuring compliance with regulatory standards of care at the organizational, state and federal level. As needed, the Social Worker conducts clinical review for utilization management; corresponding with payers and utilizing established criteria sets.

ESSENTIAL DUTIES AND RESPONSIBILITIES

* Provides psychosocial assessment, intervention and facilitates referrals to community resources to hospital patients in a variety of care settings.
* Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions which may include crisis intervention and grief and bereavement services.
* Assesses referred patients, within prescribed time frames, 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 resource options available to patients and families. Facilitates and assists with legal issues within scope of practice (POAHC, Guardianship, Patient Rights, and Adoption).
* Reviews advance directives and helps patients to complete new documents.
* Communicates effectively with physicians, patients, families and multidisciplinary team to ensure that the patient's right to self-determination is met.
* Provides education and support to patients, families in regards to issues related to adaptation to the patient's diagnosis, illness, treatment and or life situation.
* Maintains detailed knowledge of community resources to effectively address patient needs and help to strengthen patient's network of support.
* Documents plan of care, interventions, and progress toward goals in the medical record 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.
* Acts 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 potential failed discharge plans or need for specialized intervention.
* Provides follow-up with patients as needed.
* Assists with identifying avoidable day information for organizational tracking and trending.

EDUCATION AND EXPERIENCE

Master's degree from accredited college or university (MSW or equivalent) required.
One to two years related experience and or training in acute care setting is desirable.

CERTIFICATION AND LICENSURE
APSW License in state of practice required.
Case Management Certification (ACMA) preferred.

ADDITIONAL REQUIREMENTS
Passing the Driver's License Check and or Credit Check (for those positions requiring).
Passing the WI Caregiver Background Check and or IL Health Care Workers Background Check.
Must be able to follow written and oral instructions.

OTHER SKILLS AND ABILITIES

WORK ENVIRONMENT
The noise level in the work environment is usually quiet.

AGE OF PATIENTS SERVED
Neonate (birth - 28 days)
Infant (29 days - less than 1 year)
Pediatric (1 year - 12 years)
Adolescents (13 years - 17 years)
Adult (18 years - 64 years)
Geriatric (65 years and older)

INFORMATION ACCESS
Partner may access patient care information needed to perform their job duties.

WORK CONTACT GROUP
Partners, physicians, patients,family, visitors, vendors

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

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.