Supv Care Management
WVU MedicineAbout the role
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Promotes the achievement of optimal clinical and resource utilization allocation, facilitates appropriate lengths of stay and reimbursement for all hospital admissions in accordance with goals and objectives. Act as a key informational and educational resource liaison for team. Works to develop organizational approaches to problem solving. Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients and families.MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s Degree in Nursing or Master’s Degree in Social Work
2. Must possess one of the following current licenses as required by state board where services will be provided:
Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC)
WV:
Licensed Graduate Social Worker (LGSW) through the West Virginia Board of Social Work
Licensed Certified Social Worker (LCSW) through the West Virginia Board of Social Work
Licensed Independent Clinical Social Worker (LICSW) through the West Virginia Board of Social Work
PA:
Licensed Clinical Social Worker (LCSW) through the Pennsylvania Board of Social Workers, Marriage and Family Therapists and Professional Counselors
Licensed Social Worker (LSW) through the Pennsylvania Board of Social Workers, Marriage and Family Therapists and Professional Counselors
EXPERIENCE:
1. Five (5) years of Nursing or Medical Social Work experience (two (2) of which are inpatient hospital setting).
2. Two (2) years of Care Management or supervisory experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Care Management Certification.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Oversees the discharge/transition planning executed by the Care Management staff, and audits said activities for accuracy of delivery.
2. Conducts weekly Clinical-Financial meetings to monitor patients with high dollar, high LOS and/or social barriers. Collaborates with multidisciplinary team to problem solve for these cases.
3. Working knowledge of regulatory requirements and insurance coverage/limitations as it relates to care delivery in the acute setting and transitioning to the non-acute setting.
4. Participate in weekly meetings with new employees and Preceptor during orientation phase to evaluate the staff progress and adjust plans accordingly.
5. Demonstrates clinical expertise by serving as a resource and role model for department personnel.
6. Provides guidance on complex high acuity patient assessments and interventions, and intervenes accordingly.
7. Provides timel
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