MyMichigan Health

Boutique insurance agency for employee benefits

Social Worker BSW

Case Management & AdvocacyUpdated on Nov 10

Full-timeAlpena, MI, USANo salary listedIn-person

About the Job

Requirements

A bachelor's degree in social work is required.
An LLBSW or LBSW license is required at hire. Employees with a limited BSW license must be actively working toward full licensure as an LBSW or LMSW, including passing the licensing examination and completing 4,000 hours of supervised post-degree social work for LMSW.
Training, experience, or demonstrated competency in casework principles, including diagnosis, assessment, crisis intervention, treatment and transition planning; individual, family, and group therapy techniques; community resources, public assistance, and entitlement programs; and issues relating to age and developmental stage, special needs, and cultural patterns of patient populations.
Interpersonal skills to communicate successfully with individuals and groups and explain ideas and concepts clearly to people at all levels.
Adherence to the National Association of Social Workers’ Code of Ethics.
Competency in Microsoft Windows and willingness to participate in further learning opportunities offered by the organization.
Ability to handle multiple tasks, work independently, maintain regular and predictable attendance, and stay awake.
Ability to wear required personal protective equipment, move about the facility with or without an assistive device, and perform the listed job functions.
Ability to follow bloodborne pathogen and tuberculosis testing requirements.
Ability to meet the physical requirements of sedentary work, including occasionally lifting or carrying 0–10 pounds.

Responsibilities

Provide social work intervention during hospitalization for crisis management, health care decision-making, illness adjustment, ethical and legal concerns, discharge planning, transitional care needs, child or elder abuse, domestic violence, competency, financial problems, compliance issues, substance abuse, mental illness, and other psychosocial barriers to health.
Work with the health care team, patient, family, and significant others to transition the patient to an appropriate level and place of care; advocate, mediate, and negotiate in support of patient self-determination; and develop a plan to maintain health, improve social supports, and move the patient safely to less restrictive and less costly levels of care according to available resources.
Collaborate with physicians on competency and capacity determinations, legal guardianship, involuntary psychiatric admission, adoptions, and ethical concerns; complete and distribute necessary legal and clinical documentation.
Collaborate with physicians, nurses, health information analysts, and other care management team members to provide information on admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards.
Complete and document a standard psychosocial-spiritual assessment to eliminate barriers to treatment and discharge, increase patient and family satisfaction, and improve appropriate resource utilization.
Lead efforts to obtain financial and other resources for patients and families in need.
Identify the need for and conduct family meetings, with or without a physician, to support understanding, comfort, decision-making, and outcomes such as discharge.
Apply family dynamics, crisis intervention, strengths-based, solution-focused, and meaning-of-illness theories in everyday casework.
Summarize patient and family situations and advise non-social-work staff on recommended actions and discharge barriers.
Facilitate discharge planning for extended-care placements, facility transfers, and home-care arrangements in collaboration with the health care team.
Participate in care coordination efforts and daily meetings to identify high-risk factors, respond appropriately, and capture and document key information, next steps, and avoidable days.
Accept accountability for clinical outcomes that the discharge-planning role can facilitate.
Maintain timely, clear, and concise documentation in required systems and complete data-entry requirements.
Provide pertinent clinical data to designated outside agencies to meet their requirements.
Ensure compliance with regulatory requirements and serve as a resource and liaison to physicians and medical staff on case management activities.
Communicate a patient-centered, needs-based care plan during care coordination rounds that reflects patient resources, timeliness, and readmission risk.
Build professional relationships with patients, families, facilities, and resources to resolve conflicts positively.
Identify high-risk populations and address opportunities for intervention.
Offer assistance to peers as needed.
Maintain professional licensure through required professional development and education.
Perform other duties as assigned.

Desired Qualifications

Three years of experience working in a medical center, social agency, or community organization dealing with physical health, mental health, or welfare is preferred.
Certification in Case Management is preferred; the case manager is recommended to obtain ACM certification after two years of experience.
Membership in at least one professional organization, such as NASW or the Society for Social Work Leadership in Health Care, is preferred.

Summary

The Bachelor of Social Work (BSW) Case Manager plays a pivotal role in maintaining the quality of care patients receive during medical center hospitalization and post discharge while ensuring the organization is fully reimbursed. The BSW Case Manager (CM) must have a high level of expertise and skill to create highly effective strategies for short term and long term goals in order to prevent readmissions and address unpredictable situations. BSW CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and consulting with the physician and the health care team to ensure timely and appropriate level of care is achieved. This requires effective skills in conflict resolution, decision making and team building. The BSW Case Manager practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. The BSW Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally. The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role. The social worker is responsible for assessing the patient’s psychosocial-spiritual needs, education and discharge planning needs.

Responsibilities

(30%)* Provide social work intervention as it relates to hospitalization including crisis management, health care decision making, illness adjustment, ethical/legal concerns, discharge planning, and transitional care needs, child or elder abuse, domestic violence, competency, financial problems, compliances issues, substance abuse, mental illness as well as other psychosocial barriers to maximizing health status.

(30%)* Work with health care team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self-determination for the patient system, to formulate a cohesive plan for maintaining the patient’s health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources.

(20%)* Collaborate with the physician in competency/capacity determination, obtaining legal guardianship, involuntary psychiatric admission, adoptions, ethical concerns, etc. Complete and disseminate all necessary legal and clinical documentation as needed for resolution.

(20%)* Collaborates with all members of the Care Management Team including physicians, nurses, health information analysts, and others to provide information relating to admission, continued stay, discharge criteria, managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily basis.

OTHER DUTIES AND RESPONSIBILITIES:

Complete and document a standard social work psychosocial-spiritual assessment to: Eliminate barriers to treatment and discharge, increase patient/family satisfaction, improve appropriate utilization of resources.
Serve as the lead in obtaining financial and other resources for patients and families in need.
Identify the need for and conduct family meetings, with or without the physician, that result in understanding, comfort, decision-making, and other important outcomes, such as discharge.
Integrate relevant theories of family dynamics, crisis intervention, strengths based, solution focused, and meaning of illness into everyday casework.
Summarize a patient and family situation concisely, with helpful guidance to non-social work staff members about recommendations for actions to be taken and barriers to discharge.
Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care arrangements in collaboration with the health care team.
Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and avoidable days are captured and documented. Is an active participant in the daily care coordination meetings.
Accepts accountability for the clinical outcomes that the Discharge Planning role can facilitate.
Maintains timely, clear and concise documentation in all required systems.
Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements.
Assures compliance with regulatory requirements and acts a resource/liaison to physicians and medical staff regarding all aspects of Case Management activities.
During Care Coordination Rounds, BSW CM communicates with the health care team a patient-centered plan that is needs based, appropriate to patient resources, timely and addresses the risk of readmission.
Builds professional relationships with patient, families, facilities and resources to address conflict resolution with positive outcomes.
Completes all documentation and data entry requirements. Identifies high risk population and addresses opportunities for intervention.
Willingly and consistently offer to help peers as needed.
Communicates teamwork, caring and compassion. Provide excellent customer service with internal and external customers.
Assume responsibility for professional development and education requirements for maintenance of professional licensure.
All other duties as assigned.

Certifications and Licensures

Credential: BSW: Bachelors of Social Work
Equivalent Experience: LLBSW or LBSW Required at time of hire. Limited License BSW employees must be actively working to obtain full licensure either as a LBSW or working towards their LMSW. These employees must pass licensing exam and complete 4,000 hours of supervised post-degree social work by a LMSW. Certification in Case Management preferred. Recommended that the Case Manager receives their ACM certification after two years of experience.

Qualification Source: MI

Required Education

Education: Bachelor Degree
Equivalent Experience:

Education Specialization: SOCWRK

Other Information

EXPERIENCE, TRAINING AND SKILLS:

Training and experience, and/or demonstrated competency in casework principles, including diagnosis, assessment, crisis intervention, treatment and transition planning; techniques in individual, family and group therapy; awareness of community resources, public assistance and entitlement programs, ensuring transition to appropriate levels of care; and issues relating to age and stage of development, special needs and cultural patterns of the patient populations being served.

Knowledge of medical social work practices, processes and procedures as normally acquired through three years’ experience working in a medical center (preferred), social agency or community organization dealing with physical and/or mental health and/or welfare.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.

Adherence to the National Association of Social Workers’ Code of Ethics.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Membership in at least one professional organization (i.e. NASW, Society for Social Work Leadership in Health Care (SSWLHC)-MI Chapter, national SSWLHC, etc.) preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICALWORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

About the Company

MyMichigan Health

Boutique insurance agency for employee benefits

MyMichigan Health is a boutique insurance agency that plans employee benefits for entrepreneurs and small to mid-sized businesses, representing over 100 national carriers. It researches market options to match employers with a mix of health, life, dental, and vision plans at lower premiums, delivered through a co-branded Employee Benefit Portal. It stands out with a large carrier network, tailored market research for SMBs, and a portal that simplifies enrollment and benefits administration. Its goal is to provide affordable, comprehensive employee benefits that fit the needs of small and medium-sized businesses while making enrollment easy.

Company size: 1-10
Company stage: Not listed
Total funding: Not listed
Headquarters: Troy, MI
Founded: Not listed

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