Social Work Care Manager – SSW – LCSW – Salt Lake City

Job Overview

Job Description

The social work care manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. This position manages complex specialty areas of care and acts in a mentoring/leader capacity to other care managers.
Candidates holding a licensure of SSW, CSW and LCSW will be considered.
An overall responsibility of the role is to provide care management services to high risk medically complex patients.
Looking to add social workers with a strong background in work around social determinants of health.
Job Essentials

Identifies patient populations using specific screening criteria including psychosocial screen, medical record review or through referrals for service per department policy/guidelines includes trigger list, timeframes for assessing patient, and pre-screen criteria. Review of medical records, focused reports and/or referral information to gather relevant data per department guidelines. Obtains additional necessary information by interviewing the patient/family/significant other (SO). Assesses patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care is developed and maintained for members receiving care management services consistent with COP/NCQA and department standards.

Coordinates and facilitates communication among the member/caregivers /representative, members of the healthcare team, and other relevant parties (e.g. referral physicians, community organizations, post-acute providers, other payers, Sales Team, Employer Groups, etc.). Coordinates with appropriate individuals to help ensure consults, testing, procedures are sequenced in a manner that is appropriate to patient clinical condition and supports timely and efficient care delivery. Care Management will actively intervene and resolve/escalate where barriers to service exist across the care continuum. Maintains a current knowledge of community resources. Where necessary performs cost benefit analysis and coordinates authorizations for appropriate level of care. May diagnosis various mental, emotional and behavioral disorders using DSM 5 guidelines. Provides supportive, crisis and other social work interventions as identified. Coordinates and collaborates with external agencies including DCSF, APS, and law enforcement when abuse, neglect or exploitation is suspected or confirmed. May provide therapeutic modalities appropriate to the level of care. Acts within the scope of the Mental Health Practice Act. Works in a mentoring capacity with the Care Manager I?s to assess appropriate level of care and develop alternative care to offset the disparity between plan design and treatment needed. Trains on and may handle more complex problem, questions and clinical circumstances. Collaborates with the department educator to foster an instructive and guiding atmosphere for Care Manager I?s. Provides an expert level of support for Care Manager I?s as needed.

Minimum Qualifications

Master’s degree in Social Work (MSW). Education must be obtained from an accredited institution. Degree will be verified.

Current Licensed Clinical Social Worker (LCSW) license in state of practice.
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Current Driverís License in the state of practice.

Three years of clinical care management or social work experience.
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Basic computer skills and knowledge of word processing and spreadsheet software.
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Intermediate knowledge of work processing and excel software.
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Strong written and verbal communication skills.
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Demonstrated ability to exercise critical thinking skills.

Preferred Qualifications

Case Management or Social Work Certification.
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Case Management or Social Work Certification.

Experience working in clinical care management, social work or with third party payers.
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Knowledge of care management.
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Knowledge of health insurance related products.
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Working understanding of coding, episode of care and length of stay guidelines.
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Written and verbal communication skills.
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Ability to work independently, be self-motivated, have a positive attitude, and be flexible in a rapidly changing environment.

Physical Requirements

Lifting, twisting, standing, seeing, manual dexterity, speaking, sitting.

Intermountain Medical Center

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