Licensed Master Social Worker - Case Management

GENERAL SUMMARY:

Under the operational Leadership of Case Management, this position plans, organizes, administers and coordinates all activities for Social Work hospital-wide. The Licensed Masters Social Worker (LMSW) provides professional application of Social Work Theory, principles, and methods to prevent, assess , evaluate, formulate and implement a plan of action based on the clients needs and strengths, and intervene to address mental, social, emotional, behavioral, developmental, and addictive disorders, conditions and disabilities, and of the psychosocial aspects of illness and injury experienced by individuals and society. The Social Worker is responsible for a resource referral to community service providers for hospital patients; working collaboratively with the multidisciplinary team; assists in developing resources, staff orientation education and inservice activities. Social Worker will work with insurance agencies / funding sources to verify benefits and obtain any authorizations needed for required services

QUALIFICATIONS:

Education/Skills Required:

1. Completion of an MSW degree
2. Minimum of two years experience in a health care setting. Discharge planning experience preferred.
3. Must have current New York State license as Licensed Master Social Worker required.
4. Understanding of common ethical and legal issues in the healthcare setting.
5. A high level of interpersonal skills and professional poise to interact with Medical Staff, other department staff, and Medical Center management is required.
6. Knowledge of the prospective payment system and current insurers payment methodologies, coding and sequencing, and data collection and analysis is preferred.
7. Assessment and goal setting skills, project management skills, and problem solving skills are required.
8. Knowledge of CMS, Department of Health, and The Joint Commission regulations is preferred.
9. Knowledgeable in managed care processes is preferred.
10. Computer experience preferred.
11. Good written and verbal communication skills.
12. Experience with obtaining authorization from insurance companies for inpatient or outpatient care preferred

As applicable, the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.