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Lehigh Valley Health Network

Integrated academic health care network

Inpatient Care Manager - MSW

Case Management & AdvocacyPosted on Nov 9
Full-timeAllentown, PA, USANo salary listed

About the Job

Requirements

  • A Master's degree in Social Work is required.
  • Less than one year of experience in an MSW internship program is required.
  • Ability to incorporate strategies for interacting with persons from diverse backgrounds.
  • Ability to set priorities to coordinate care plans efficiently.
  • Knowledge of computer applications and analytical tools.
  • Proven leadership skills.
  • Colleagues working in New Jersey must hold an LSW or LCSW license upon hire.

Responsibilities

  • Conduct comprehensive assessments at patient entry to determine anticipated length of stay, discharge needs, and resources, and develop and implement individualized plans of care and transition plans with the multidisciplinary team.
  • Coordinate safe and timely discharge planning, including securing post-acute authorizations, arranging transportation, home care, and facility placements, and facilitating transfers when needed.
  • Monitor and manage patient progress through daily review, participate in multidisciplinary rounds, and identify and resolve barriers to discharge.
  • Advocate for patients and families, address clinical, educational, and psychosocial needs, and ensure their preferences are reflected throughout the care continuum.
  • Collaborate with multidisciplinary healthcare teams and involve patients and families in developing and implementing plans; coordinate team or family conferences when necessary to facilitate care progression; and refer patients or significant others to community-based services and resources to meet continuum-of-care needs.
  • Develop and maintain knowledge of Medicare, Medicaid, and key payer benefits and reimbursement methodologies.
  • Assist patients and families with self-management education through in-person visits, telephone, and electronic engagement, and encourage and support adherence to discharge care plans.
  • Communicate with physicians, patients, families, and team members to facilitate referrals and authorizations, resolve medical-necessity issues, and coordinate transition and discharge planning.
  • Initiate medical assistance applications promptly when necessary, or ensure identified external agencies have initiated them, and follow up with the relevant external service.
  • Maintain current knowledge of Medicare, Medicaid, and other payer systems, including benefits, reimbursement methodologies, and conditions of participation.
  • Deliver required regulatory notices within established timeframes, as applicable to the facility.
  • Actively manage resources to minimize unnecessary utilization and support performance-improvement initiatives to enhance patient care and system efficiency.

Desired Qualifications

  • Familiarity with electronic health records, specifically EPIC.
  • Accredited Case Manager (ACM) certification from the American Case Management Association within three years.
  • Certified Case Manager (CCM) certification from the Commission for Case Manager Certification within three years.

About the Company

Lehigh Valley Health Network

Integrated academic health care network

LVHN is part of Jefferson Health, forming a large integrated academic health care system with 32 hospitals and 700+ care sites across the Lehigh Valley and surrounding regions. It delivers medical care, education, and clinical research by coordinating treatment through hospitals, clinics, and research programs. Its uniqueness comes from its connection to a major academic network, wide regional reach, and a strong emphasis on both high-quality patient care and ongoing education and discovery. The goal is to heal, comfort and improve health outcomes for the communities it serves, while advancing knowledge through education and research.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Pottsville, Pennsylvania
Founded
1899

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