Social Services Case Manager
LECOM Medical Center and Behavioral Health Pavilion
Date: 2 weeks ago
City: Erie, PA
Contract type: Contractor
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LECOM Medical Center and Behavioral Health Pavilion, an Equal Opportunity Employer, is currently hiring a Full Time Social Service Case Manager.
Job Summary
The Case Manager/Medical Social Worker is responsible for performing case management, utilization review, quality assurance, and discharge planning.
Responsibilities specific to Case Management includes assessment, identification of specific needs, and social service intervention while in the acute setting. Awareness of services available to patients and their families are an important part of this assessment.
Responsibilities specific to Utilization Review include performing admission and concurrent review, and at times retro-review of all in-patients conforming to Medicare, Medicaid, and/or other Third Party Payer requirements. These review processes may be applicable also to Contracted Managed Care members who are patients in the acute/ extended care units of the hospital. Issuance of non-coverage letters at time of discharge to the acute/extended care patient is also considered part of the discharge planning process as specified by contracted Health Plans.
Responsibilities specific to Quality Assurance include performing surveillance and data collection as directed for trend recognition and development of effective actions/plans.
Education Requirements: Bachelor’s Degree in Social Work Membership of the Stroke team includes mandatory hours of education annually specifically related to diagnosis/assessment and management of acute stroke/ cerebrovascular disease.
Minimum Experience: 2 years clinical experience – preferred
LECOM Medical Center and Behavioral Health Pavilion, an Equal Opportunity Employer, is currently hiring a Full Time Social Service Case Manager.
Job Summary
The Case Manager/Medical Social Worker is responsible for performing case management, utilization review, quality assurance, and discharge planning.
Responsibilities specific to Case Management includes assessment, identification of specific needs, and social service intervention while in the acute setting. Awareness of services available to patients and their families are an important part of this assessment.
Responsibilities specific to Utilization Review include performing admission and concurrent review, and at times retro-review of all in-patients conforming to Medicare, Medicaid, and/or other Third Party Payer requirements. These review processes may be applicable also to Contracted Managed Care members who are patients in the acute/ extended care units of the hospital. Issuance of non-coverage letters at time of discharge to the acute/extended care patient is also considered part of the discharge planning process as specified by contracted Health Plans.
Responsibilities specific to Quality Assurance include performing surveillance and data collection as directed for trend recognition and development of effective actions/plans.
Education Requirements: Bachelor’s Degree in Social Work Membership of the Stroke team includes mandatory hours of education annually specifically related to diagnosis/assessment and management of acute stroke/ cerebrovascular disease.
Minimum Experience: 2 years clinical experience – preferred
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