2 care management social worker jobs found

Review Activities: Monitors individual cases in relation to established criteria, LOS & patient care guidelines Assures patient is meeting level of care criteria & issues denial of care letters as necessary Intervenes as indicated to promote the timely provision of care & utilization of resources Serves as a resource for physicians & nurses in understanding criteria for continued stay & medical necessity Monitors patient outcomes to evaluate clinical & financial effectiveness Reconciles services rendered with patient benefits & communicates with physicians & 3rd party payers to assure appropriate reimbursement Manages/supervises social work and case management as a team to facilitate discharge planning needs of the patients. Clinical Practice: Collaborates with patient care team to move population along the continuum by effectively planning for continued care as...

Administrative : Plans, directs, coordinates, and evaluates Social Work and Activities Programming in accordance with NMHS Policy/Procedures and criteria established by various legal/regulatory accrediting bodies Manages the overall operations of the Social Work Department Supervises, oversees, schedules, and coordinates the activities of the Activities Coordinators and Activities Assistants on all shifts Assures all Social Work staff are properly trained regarding regulatory guidelines and daily work. Coordinates employee training. Social Work: Provides psychosocial assessment of factors related to the resident’s illness and need for care Identify and provide problem resolution associated with high risk indicators endangering resident’s mental and physical health Identify support system Evaluate resident(s) and implement treatment plan Consults with residents as needed including provision...