Social Worker (MSW) Utilization Review / Case Mgmt

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary :

A Social Worker - MSW (Inpatient) is a crucial member of the healthcare team, providing comprehensive support and services to patients and their families. They are responsible for conducting assessments, supporting patient-centered care plans, facilitating resources, monitoring progress, advocating for patients, actively listening to their concerns, respecting individuality, building trust, performing risk segmentation, carrying out delegated work, coordinating care, and communicating with payers.

Responsibilities :

1. Assessments : Conduct thorough assessments of patients' mental, emotional, and social well-being to evaluate their needs and identify any barriers to their overall functioning. This includes assessing their support systems, coping mechanisms, mental health conditions, and psychosocial factors.

2. Patient-Centered Care Plans : Collaborate with providers, patients, their families, and the healthcare team on individualized care plans that align with patients' goals, preferences, and values. Resource Facilitation : Connect patients and their families with community resources, mental health services, support groups, and other relevant programs. This includes assisting with referrals for psychiatric evaluations, medication management, and coordinating care with other providers.

3. Progress Monitoring & Evaluation : Continuously monitor and evaluate the progress of patients' care plans to assess their response to interventions, measure outcomes, and make necessary adjustments. Collaborate with the healthcare team to ensure appropriate care progression, follow-up and continuity of care.

4. Advocacy : Advocate for patients' needs within the healthcare system and the community. This involves ensuring access to appropriate treatment, facilitating communication between patients and their healthcare team, and addressing any barriers or concerns that may impact the patient's well-being.

5. Active Listening : Engage in active listening to understand patients' experiences, concerns, and emotions. Provide a safe and non-judgmental space for patients to express themselves and offer empathy, validation, and support.

6. Respect for Individuality : Recognize and respect the unique values, beliefs, and cultural backgrounds of each patient. Tailor interventions and support to align with their individual needs and preferences, taking into account their cultural, social, and spiritual backgrounds.

7. Building Trust : Build trust-based relationships with patients and their families by demonstrating empathy, confidentiality, and professionalism. Foster open communication, collaboration, and a therapeutic alliance.

8. Risk Segmentation : Utilize risk segmentation strategies to identify patients who may require additional support or interventions based on their medical, psychological, and social risk factors. This helps prioritize resources and interventions for those who need them most.

9. Tasks or Interventions : Carry out specific tasks or interventions as delegated by the healthcare team.

10. Delegated Work : Collaborate with other members of the healthcare team to carry out delegated work, such as coordinating referrals, conducting follow-up assessments, and providing ongoing support to patients and their families.

11. Care Coordination : Coordinate care across different providers and settings to ensure seamless transitions and continuity of care. This may involve facilitating communication, sharing information, and advocating for the patient's needs.

12. Payer Communication : Communicate with payers, such as insurance companies or government agencies, to provide necessary information for authorization of services, reimbursement, or other documentation requirements.

Other Information

Other information :

Education Requirements :

• Master's Degree in Social Work

Licensure / Certification Requirements :

Professional Experience Requirements :

Knowledge / Skills / and Abilities Requirements :

Job Details

Legal Employer : NCHEALTH

Entity : Chatham Hospital

Organization Unit : Utilization Review / Case Mgmt

Work Type : Full Time

Standard Hours Per Week : 40.00

Salary Range : $33.04 - $47.50 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type : Onsite

Work Schedule : Day Job

Location of Job : US : NC : Siler City

Exempt From Overtime : Exempt : Yes

This position is employed by NC Health (Rex Healthcare, Inc., d / b / a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and / or to apply for a career opportunity.