Highmark Health - Pittsburgh, PA

posted 26 days ago

Full-time - Mid Level
Pittsburgh, PA
Insurance Carriers and Related Activities

About the position

The Social Work Case Manager at Allegheny Health Network is a professional clinician responsible for coordinating care for patients and their families/caregivers. This role involves collaboration with an interdisciplinary team to improve patient care quality and experience by addressing social determinants of health. The case manager plays a crucial role in ensuring safe transitions of care, advocating for patients, and providing necessary resources and support throughout the care continuum.

Responsibilities

  • Contributes to and/or completes initial and ongoing comprehensive assessment.
  • Provides interventions and implements recommendations after engaging patients and their caregivers/families.
  • Focuses on the individual's risk related to social determinants of health to assure successful coordination of care across the continuum.
  • Collaborates to provide the safest transition plan for assigned patients (Inpatient/Observation/ED) to ensure timely discharge and connection with post-discharge care providers and community resources.
  • Educates patient, family/caregiver, and physician regarding the most appropriate level of care post-discharge and how to access community support.
  • Advocates for the patient, family/caregiver through effective communication with interdisciplinary team members, payers, and post-acute partners to assure the safest transition.
  • Serves as a resource to provide counseling and intervention related to treatment decisions and end-of-life issues.
  • Drives collaborative conversations to establish goals of care and provides crisis interventions in various sensitive cases.
  • Promotes individual professional growth and development through certification, mentoring/precepting, and participation on committees.
  • Supports department-based goals that contribute to the success of the organization.

Requirements

  • Minimum Master's degree in Social Work (to be obtained within 6 months of hire).
  • Experience in a hospital or healthcare setting.
  • LSW required within 1 year of hire.
  • Act 34 Criminal Background Clearance Certificate.
  • Act 33 Child Abuse Clearance Certificate.
  • Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.

Benefits

  • $10,000 sign-on bonus available (eligibility requirements must be met).
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