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Tenet Healthcare

Operates hospitals and clinics; revenue cycle

Clinical Social Worker Case Management

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeDetroit, MI, USANo salary listedIn-person

About the Job

Requirements

  • A Master's degree in Social Work from a college or university social work program approved by the Michigan Board of Social Work and accredited by the Council on Social Work Education.
  • A current Michigan Licensed Master's Social Worker license, or a current limited license to practice social work at the Master's level in Michigan, with full licensure required within three years of hire.
  • Complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire.
  • Attend hospital and department orientation, including instruction on Tenet Case Management and Compliance policies, Transition Management, and other case-management topics.
  • Operate within the Social Work scope of practice as defined by state licensing regulations.

Responsibilities

  • Facilitate care across the continuum through resource coordination to help patients achieve optimal health, access care, and use resources appropriately while respecting patient resources and self-determination.
  • Assess patients' transition needs, including identifying patients at risk for readmission, and conduct complex psychosocial assessments and interventions to support timely throughput, safe discharge, and readmission prevention.
  • Complete a comprehensive assessment within 24 hours of admission and identify and document the anticipated transition plan.
  • Integrate patient assessment, patient choice, and available resources to develop and implement successful transition plans.
  • Complete complex psychosocial assessments and plans for patients at high risk for readmission, and provide psychosocial assessment and intervention for behavioral health needs, lack of support systems, financial barriers, end-of-life needs, and medication adherence.
  • Delegate transition-plan implementation to LVN/LPN or assistant staff when appropriate and follow up to ensure timely and accurate completion.
  • Ensure all transition-plan elements are implemented and communicated to the healthcare team, patient and family, and post-acute providers.
  • Provide patients with information to make informed choices about community services in accordance with Tenet policy.
  • Complete the Final Discharge Disposition Form Assessment for Medicare patients in accordance with Tenet policy.
  • Document information accurately, completely, and promptly in the Tenet Case Management system and provide required documents for the patient record.
  • Screen patients for factors affecting progression of care and intervene to promote timely and appropriate throughput.
  • Assess and stratify patients at risk for readmission or in need of case management services.
  • Assist with adoption, abuse, and neglect cases and report appropriate cases to local, state, or federal agencies.
  • Ensure plans of care are consistent with patient choice and available resources, and communicate patient needs so the healthcare team is mutually accountable for achieving the plan.
  • Collaborate with physicians, nurses, ancillary staff, payors, patients, and families to achieve optimal outcomes.
  • Lead or facilitate multidisciplinary patient care conferences, including Complex Case Review, and make appropriate referrals to other departments.
  • Communicate the plan of care to patients and families and collaborate with physicians, office staff, and ancillary departments.
  • Ensure patient education is completed to support post-acute needs, including education about available resources, benefits, and the economic impact of care options.
  • Ensure patients, families, and caregivers receive education from the healthcare team before discharge.
  • Ensure compliance with federal, state, and local regulations and accreditation requirements that affect case management services; follow department structure, staffing, policies, procedures, CMS Conditions of Participation, and Tenet policies.
  • Maintain accurate patient demographic and insurance information.

Desired Qualifications

  • Two years of acute hospital experience is preferred.
  • Accredited Case Manager (ACM) certification is preferred.

About the Company

Tenet Healthcare

Operates hospitals and clinics; revenue cycle

Tenet Healthcare runs a large network of hospitals and outpatient facilities, including 65 hospitals and around 500 other centers, and owns Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, and physician practices. It earns most of its revenue from patient services like hospital stays, surgeries, and outpatient procedures, while Conifer generates income by handling billing and administrative tasks for providers. The company delivers care through its facilities and supports providers with financial operations and care models that tie payments to patient outcomes. Its scale and integration, along with an emphasis on workforce diversity, help coordinate care efficiently, with a goal of delivering the right care at the right place and time and becoming a trusted employer and partner in its communities.

Company size
10,001+
Company stage
IPO
Headquarters
Dallas, TX
Founded
1967

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