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MSW Case Manager

Healthcare Recruitment Partners, Florida, NY, United States


MSW Hospital Case Manager – Orlando, Florida
Medical Social Worker (MSW) Case Manager provides patient-centered care for at-risk populations through comprehensive Care Coordination, Discharge Planning, and Transitions-of-Care Management. The MSW evaluates post-hospital needs, develops and implements care plans, and ensures safe, timely patient throughput. The hospital MSW addresses complex psychosocial needs, assists with social program eligibility, and connects patients to community resources. The MSW collaborates daily with the interdisciplinary team, promotes patient safety and satisfaction, prevents readmissions, and educates staff.

Qualifications

Masters in Social Work (MSW) experience in an Acute Hospital setting

Licensed Clinical Social Worker (LCSW) or Licensed Clinical Social Worker Associate (LCSW‑A) per state requirement

Knowledge of state and federal guidelines pertinent to Medical Case Management

Responsibilities

Escalates issues barriers to appropriate level of Care Management leadership

Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan

Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of care

Collaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussions

Ensure all patients on assigned unit(s) are moved timely and effectively to appropriate levels of care

Ensures reassessment of discharge needs provided anytime a patient’s condition changes and/or the circumstances impacting the provision of post-hospital care changes

Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end-of-life issues

Provides grief counseling and crisis intervention skills

Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the Healthcare System

Provides de-escalation services for patient/family as appropriate

Provides Motivational Interview techniques for patients with substance use and addictive disorders

Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention

Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis

Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers

Provides assessment and reporting interventions

Provides consultation services for patients who may possibly lack decision making capacity

Follows the guardianship (temporary/ permanent) policies and procedures and coordinates with Care Management leadership throughout the process

Facilitates full team discussion including patient and family when ethical dilemmas arise

Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization

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