- Dayshift-Full time
- Weekend rotation
- Holiday rotation
- A social worker with a minimum of 1-year social work experience
- A social worker with 1-2 years' acute care experience preferred
- LSW Required
- LMSW preferred or working towards it.
- Social Work license in state of Idaho
- Excellent communication skills
- Knowledge of medical terminology
- Ability to be flexible and prioritize work tasks, crisis situations, etc
- Ability to work independently with minimal supervision
- Ability to adapt to frequent changes with insurance demands
- Ability to follow the Case Management Department Standard Operating Procedures
- Ability to work holidays and a weekend rotation
- Neonate, pediatric, adolescent, adult and geriatric
- All patients regardless of gender, race, ethnic, religious, sociopolitical, demographic, marital and sexual preference groups
- All patients regardless of developmental and physical abilities or mental illness
- Regularly exposed to bloodborne diseases. Contact with patients under a wide variety of circumstances. Exposed to unpleasant elements (accidents, injuries, illnesses, and death). Subject to varying and unpredictable situations. Occasionally subjected to irregular hours.
- Organizational Expectations:
- Provides a positive and professional representation of the organization.
- Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention.
- Maintains hospital standard for a clean and quiet environment.
- Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice.
- Participates in ongoing quality improvement activities.
- Maintains compliance with organization's policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards.
- Complies with organizational and regulatory policies for handling confidential information.
- Demonstrates excellent customer service through his/her attitude and actions, consistent with the standard contained in The Gritman Way.
- Responsible for identifying patient who are high-risk and assisting with a safe discharge plan that meets the patient's goal
- Responsible for providing medical social service resources to staff and patients in the Emergency Department, Family Birth Center, Medical Surgical Unit and Critical Care Unit
- Responsible for makes the appropriate referrals for post-acute services and/or mandated reporting
- Responsible for timely delivery of the MOON and Imparta forms
- Responsible for utilization review by conducting concurrent reviews using nationally recognized criteria and referring cases appropriately for secondary review and documenting in the UR module per UR Standard Operating Procedures.
- Responsible for submitting clinical and communicating with the insurance companies per their UR guidelines
- Responsible for adhering to HIPAA guidelines and regulation and maintaining patient confidentiality and acknowledging patients' rights on confidentiality issues at all times.
- Responsible for collaborating with the Case Manager-Registered Nurse, hospitalists, nursing staff, House Supervisors, ED, and outside agencies to expedite access and throughput
- Covers for the Case Manager-Registered Nurse during weekend and holiday coverage and when staffing needs arise
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medical social worker - Moscow, ID , USA, United States - Gritman Medical Center
Description
Job Summary:
The Case Manager is responsible for utilization review and assessing level of care and discharge planning needs in a timely fashion.
Discharge plans are developed with the provider, patient and their families'/support persons and ancillary departments to ensure a safe discharge plan is in place and any necessary referrals are made to the appropriate community agencies, post-acute facilities and primary and/or specialty care physicians.
The case manager will provide patients and their families and/or support systems with resources to assist with financial, medical and/or social issues they are experiencing.
Responsible for assisting patients in the inpatient, outpatient, Family Birth Center, and Emergency Department settings.Work Hours:
Functional Demands:
Populations served
Education Required:
Bachelors or better in Social Work or related field.
Experience Preferred:
2 years prior medical experience including customer service experience.
