Job Description

Social Work Care Manager at Intermountain Health summary: The Social Work Care Manager coordinates care and services for patients in various healthcare settings who require assistance due to complex health and social needs. They assess patient situations, provide education, and work with healthcare teams to ensure continuity of care and improve health outcomes. This role also involves crisis counseling, care planning, and advocating for patient rights within the healthcare system. Job Description: The Care Manager-LCSW/LMSW coordinates the care and services for patients in the acute care, transitional, or ambulatory setting who are identified as needing assistance, meet high risk criteria, meet complex or Social Determinants of Health criteria, or meet payor model criteria for care management services. ESSENTIAL DUTIES AND RESPONSIBILITIES: Identifies patients for proactive intervention using payor models, and medical and social determinants of health risk criteria. Coordinates care and services for patients identified as needing assistance or meeting Care Management criteria to ensure health care continuity, avoid preventable poor outcomes, and promote the safe and timely transfer of patient from one level of care to another or from one type of setting to another. Assesses the patient’s prior and current level of functioning, access to and/or use of community resources, psychosocial needs, and available support systems. Assesses and coordinates care for patients with complex social determinants of health needs and complex family dynamics. May conduct behavioral health assessments, crisis counseling, behavioral health or substance abuse counseling, and interventions per scope of licensure and care site resources/processes. Collaborates with care team and with patient and/or family/caregivers, and/or care representatives, as appropriate, to determine specific goals and actions based on assessment. Executes specific interventions to meet established goals. Coordinates discharge planning, transitional, or home care needs per regulatory requirements, department policy or guidelines, and payor models. Provides education to patients, caregivers, and patient representatives on health management and community resource utilization. Attends and may facilitate care rounds and case conferences. Advocates for patient rights. Enhances the quality of patient care through effective and efficient use of resources. Collaborates with the care team to identify strategies for appropriate reduction in service utilization. Monitors efficiency and availability of services and evaluates outcomes. Uses criteria to implement strategies to resolve controllable variances. Identifies needs, facilitates, or provides education to physicians, nursing, and ancillary departments on care management process and roles. Participates in quality improvement initiatives. Collaborates with payors and outside agencies to enhance communication and promote a patient-centered care delivery system. May be required to work days, evenings, weekends, and holidays based on specific role. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior and compliance standards. Performs other duties as assigned. Minimum Requirements: Master’s Degree in Social Work from an accredited program. Colorado: Current valid LCSW license or SWC or LSW required at hire with LCSW required within 3 years of employment Two (2) years of experience as a Social Worker in a community, outpatient, or acute care setting. Preferred : Five (5) years of social work experience is preferred. Physical Requirements: Location: Platte Valley Hospital Work City: Brighton Work State: Colorado Scheduled Weekly Hours: 0 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $37.46 - $57.80 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. All positions subject to close without notice. Keywords: Social Work, Care Management, Patient Advocacy, Behavioral Health, Health Services Coordination, Patient Education, Community Resources, Social Determinants of Health, Crisis Counseling, Transitional Care

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