Case Manager Social Worker - Marianjoy - Part Time - Days
Company: Northwestern Medicine
Location: Wheaton
Posted on: January 22, 2023
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Job Description:
Benefits$10,000 Tuition Reimbursement per year ($5,700
part-time)$6,000 Student Loan Repayment ($3,000 part-time)$1,000
Professional Development per year ($500 part-time)$250 Wellbeing
Fund per year($125 for part-time)Annual Employee Merit Increase and
Incentive BonusPaid time off and Holiday payDescriptionThe Case
Manager - MJ Social Worker reflects the mission, vision, and values
of NM, adheres to the organization's Code of Ethics and Corporate
Compliance Program, and complies with all relevant policies,
procedures, guidelines and all other regulatory and accreditation
standards.Responsibilities:Serves as primary liaison between the
interdisciplinary team and the patient/caregiver, educates
patient/caregiver on the continuum of care and facilitates
discharge coordination.Follows the patients from admission to
discharge.Communicates to external payers on behalf of the
patient.Acts in partnership with the attending physician to closely
monitor utilization and LOS.Works with the patient/caregiver to
plan and facilitate a timely and appropriate discharge plan.Handles
caseload of patients as determined by managerForwards assessments
and clinical data to payers and external providers to facilitate
transitions and paymentCommunicates team conference and POC
recommendations to patient and family and to third parties as
indicatedAssists with facilitation of team conference to ensure
that patient continues to meet LOC criteria and is progressing
toward discharge goals in conjunction with interdisciplinary
team.Works with interdisciplinary team on ensuring procurement of
discharge needs for patient in terms of DME, clinical services and
ongoing care to support a safe transition to an appropriate
LOCFacilitates family training as needed in order to support a safe
transition to the next LOCAssesses need for and provides referrals
to community resources to support the patient safely in the
community settingCoordinates with patient/financial services and
admissions to ensure smooth transitions between levels of care and
manage concurrent denialsProvides ongoing education to
interdisciplinary team on patient's insurance benefits and status
of LOS approvalRequests authorization for continued stay from
payers as recommended by interdisciplinary team through concurrent
review process. Coordinates appeals on any concurrent denials of
requests for continued stay.Reviews patients progress and medical
necessity for continued stay against protocol and benchmarks and
communicates with attending physician and teamMonitors and
communicates resource utilization with attending
physicianIdentifies variances from established benchmarks on
cost/outcome/LOS and notify physician and teamObtains authorization
as required from payer for any special services or proceduresCase
Managers in pediatrics assist with managing referrals for IRF and
outpatient services as well as assists with referral development
objectivesCase Managers in Pediatrics facilitate return to school
after discharge and home/hospital tutoring
QualificationsRequired:Master's Degree in Social Work with current
LSW or LCSW license in the state of Illinois.Preferred:Previous
experience with Case Management and/or Discharge Planning in a
hospital settingPrevious experience in a rehabilitation
settingEqual OpportunityNorthwestern Medicine is an affirmative
action/equal opportunity employer and does not discriminate in
hiring or employment on the basis of age, sex, race, color,
religion, national origin, gender identity, veteran status,
disability, sexual orientation or any other protected status.
Keywords: Northwestern Medicine, Wheaton , Case Manager Social Worker - Marianjoy - Part Time - Days, Executive , Wheaton, Illinois
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