Social Worker MSW
Company: MyMichigan Health
Posted on: January 20, 2023
The Master of Social Work (MSW) Case Manager plays a pivotal role
in maintaining the quality of care patients receive during medical
centerization and post discharge while ensuring the organization is
fully reimbursed. The MSW 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 readmission and
address unpredictable situations. MSW 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 accuracy of medical necessity criteria and to ensure
timely and appropriate level of care is achieved. This requires
effective skills in conflict resolution, decision making and team
building. The MSW Case Manger practices in accordance with the care
management process utilizing tools, standards, models, goals and
objectives, and performance improvement concepts. The MSW 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 counseling.
- (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
- (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, increase
patient/family satisfaction, improve appropriate utilization of
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.
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.
On specific units, analyzes the clinical information on admission,
concurrently, and retrospectively (per medical necessity
criteria/InterQual Guidelines) to assure quality care is being
provided to the patient, in the appropriate location, on a daily
Determines the necessity for second-level review and implement
process per hospital policy.
Collaborates with physicians to determine appropriate patient
status and successfully negotiates patient status with the
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
Is an active participant in the daily care coordination
Accepts accountability for the clinical outcomes that the
Utilization Review and Discharge Planning role can facilitate.
Maintains timely, clear and concise documentation in all required
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, MSW CM communicates with the
health care team a patient-centered plan that is need based,
appropriate to patient resources, timely and addresses the risk of
Builds professional relationships with patient, families,
facilities and resources to address conflict resolution with
Completes all documentation and data entry requirements. Identifies
high risk population and addresses opportunities for
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.
REQUIRED EDUCATION, EXPERIENCE, TRAINING AND SKILLS:
Master's Degree in Social Work.
MSW State of Michigan License or Limited License MSW employees must
be actively working to obtain full licensure (Limited license
employees must pass licensing exam and work 4,000 hours supervised
by a LMSW).
Certification in Case Management preferred.
Recommended that the Case Manager receives their ACM certification
after two (2) years of experience.
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
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
Adherence to the National Association of Social Workers' Code of
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 TYPICAL WORKING 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
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
Frequently required to sit/stand/walk for long periods of time. May
require frequent postural changes such as stooping, kneeling or
Some exposure to blood borne pathogens and other potentially
Must follow MyMichigan Health blood borne pathogen and TB testing
Ability to handle multiple tasks, get along with others, work
independently, regular and predictable attendance and ability to
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 lb
Keywords: MyMichigan Health, Midland , Social Worker MSW, Healthcare , Midland, Michigan
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