Case Management Specialist

Job Description

This position plans, organizes, and implements social work services to patients and families. This position exists to intervene with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies.

Education:

• Bachelor's Degree in Social Work required

• Master's Degree in Social Work preferred

Certifications/Experience:

• Active licensure in the State of Indiana as a Licensed Social Worker or Licensed Clinical Social Worker preferred.

• At least three years' experience in a relevant clinical role preferred.

General Responsibilities

• Provides therapeutic intervention to assist in facilitating eligibility for social programs, funding sources, funding sources, special agencies for patients that qualify for transitional care programs or requested by the facility

• Serves as liaison between patients and the facility along with state and community agencies/programs. Serves as an advocate in coordinating the patient's plan of care/discharge summary post hospitalization according to the patient expectations.

• Seeks opportunities for individual growth in diversity training and responsiveness. Demonstrates the sensitivity to recognize, appreciate, and incorporate differences and preferences into the provision of care. Differences may include, but are not limited to individuality, cultural differences, spiritual beliefs, gender, race, ethnicity, disability, family configuration, lifestyle, sexual orientation, socioeconomic status, age, values, and alternative medicine involving patients/families and members of the health-care team. Demonstrates value of diversity by providing care in a nonjudgmental manner in culturally challenging patient care situations. Seeks internal and external resources to address culturally diverse needs of the patient/family.

• Collaborates with others (e.g. patient/families/healthcare providers/community) to promote and encourage each person's contributions toward achieving optimal and realistic patient goals. Collaboration involves interdisciplinary work with colleagues and ability to negotiate and resolve conflict. Models effective communication and negotiation skills for creating changes in a patient's/family's plan of care. Communicates with external agencies per written correspondence when necessary.

• Manages patients across the healthcare continuum to achieve optimal clinical, financial, operational and satisfactory outcomes.

• Committed to the culture of patient safety and safety of environment. Actively participates in safe practices and related educational programming. Identifies and reports potentially hazardous situations as outlined in hospital procedures, including reporting any near miss events and actual events. Takes immediate action when necessary to protect the health and well-being of patients, visitors, and/or colleagues. Works collaboratively to find ways of safeguarding patients.

• Understand department key performance indicators (e.g. HCAHPS, readmission rate, LOS/CMI)

• Attitude

• Provides highest quality service and meeting customers' needs with utmost kindness, care, compassion, courtesy, empathy, respect and friendliness. Always acknowledges and serves customers with a friendly, open smile and direct eye contact.

• Appearance

• Takes pride in personal appearance, the facility and its surroundings.

• Commitment to Coworkers

• Recognizes we are linked to one another by a common purpose; serving our patients and our community, that we are team members with our physicians and co-workers, and that we each deserve respect and support.

• Communication

• Listens attentively to our customers to fully understand needs. Pays close attention to both verbal and non-verbal communication. Is committed to exceeding customers' expectations and providing more than what is expected.

• Customer Waiting

• Provides prompt service, keeps customers informed regarding the time in which the service will be performed and makes customers comfortable while they are waiting.

• Privacy

• Maintains customer privacy and confidentiality

• Responsiveness

• Acknowledges every approaching patient or family member. Responds in a way that demonstrates the care, courtesy and respect our customers deserve.

• Safety Awareness

• Ensures an accident-free environment. Establishes, promotes and monitors a proactive innovative approach to enhance hospital and patient safety. Adheres to and ensures compliance with Joint commission Patient Safety Goals and hospital safety policies.

• Sense of Ownership

• Demonstrates a sense of ownership in their job, takes pride in what they do, and how they do it. Accepts responsibility for and is in control of the job that needs to be done

• Team Member is accountable for areas of responsibility meeting regulatory requirements including but not limited to maintaining annual TB testing, completing annual mandatories (ALC and competency), and maintaining current registration/certification/licensures as appropriate to position requirements.