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Kaiser Permanente

Integrated healthcare provider and payer platform

LGSW Case Manager - Social Work-In Patient II

Case Management & AdvocacyConfirmed live in the last 24 hours
Part-timeWashington, DC, USA

About the Job

Requirements

  • At least one year of clinical social work experience in a health care setting is required.
  • A master's degree in social work is required.
  • Credentials from the primary work state are required at hire; credentials from secondary work states are required after hire.
  • Within six months of hire, the employee must hold either a Licensed Independent Social Worker or Licensed Graduate Social Worker credential in the District of Columbia, a Licensed Master Social Worker credential in Maryland, and a Licensed Master's Social Worker credential in Virginia.

Responsibilities

  • Identify problems; conduct psychosocial assessments and financial counseling or referrals; access community resources; arrange care placement; guide members through health-related legal processes; and consult with and support other health care professionals.
  • Manage and coordinate the assigned caseload according to established criteria. Complete comprehensive psychosocial assessments of patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and treatment response to reduce inappropriate medical service utilization.
  • Collaborate with the nurse case manager and other health care team members to develop and monitor plans of care that promote members' optimal functioning and quality of life.
  • Identify, facilitate, and advocate for organizational and community resources needed to meet plans of care, ensuring implementation is cost-effective, efficient, and timely.
  • Document case management activities consistently and reliably in compliance with organizational and departmental standards.
  • Analyze patient and program outcomes to identify improvements in case management program quality and cost-effectiveness.
  • Facilitate applications for local, state, and federally funded programs, including Medicaid, Medicare, and disability programs; refer suspected patient abuse or neglect cases to appropriate community agencies.
  • Provide supportive counseling and education to members, families, caregivers, health care team members, health plan staff, and the community, including on end-of-life issues and advance directives.
  • Maintain knowledge of current case management standards, innovations in patient care, and laws, regulations, and policies relating to social work practice in the local market and agencies; uphold social work standards defined by the NASW Code of Ethics.
  • Schedule and coordinate family meetings as needed.
  • Complete guardianship paperwork and provide technology assistance so patients or family members can virtually attend court proceedings, as needed.
  • For inpatient work, complete Uniform Assessment Instruments for long-term care when required by Virginia Medicaid.
  • Float to other hospitals to cover operational staffing needs.
  • Perform other related duties as assigned.

Desired Qualifications

  • Experience using computer software programs in a Windows environment.
  • Knowledge of community systems and resources in the defined service area.
  • Knowledge of regulatory issues in the Mid-Atlantic area.
  • Previous case management or discharge planning experience.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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