Manages cases to ensure that patient rights are upheld and that patients are involved in their treatment plans. Initiate and implement clinically appropriate discharge plans. Advocate for patients in availing themselves of community, social, medical and financial resources. Work will be performed in an ethical and legal manner following organizational policies, processes, protocols and procedures. Responsible for quality service delivery and internal/external customer relations for Madonna as a whole, including upholding the mission and values for the department and facility.

ESSENTIAL FUNCTIONS

• Compile and analyze facility, program, departmental and community agency data to ensure organized, quality, individualized patient care and continuity of aftercare services and clinically appropriate discharge plans, ensuring all documentation is complete and meets regulatory requirements
• Compile, coordinate and analyze patient medical and psychosocial data to develop social histories and facilitate a plan of care and discharge plan that meets individual patient/family needs, as well as licensure and certification standards.
• Mentor and instruct patients/patient representatives regarding facility services and patient rights.
• Mentor, instruct and speak with patients and patient representatives to ensure their involvement in treatment planning and aftercare services.
• Speak with patients/patient representatives in order to obtain information regarding previous functioning to facilitate plan of care.
• Under the direction of the Case Manager, communicate and coordinate with patient representatives regarding rehab team recommendations to provide for timely discharge from the rehabilitation program.
• Instruct clinical team members in necessary psycho-social patient information to enhance care plan development and revisions.
• Educate clinical team regarding availability of services, patient preferences and patient rights in order to develop a plan of care and a discharge plan.
• Negotiate with community agencies regarding patient needs and agency ability to meet needs, making appropriate referrals and arrangements to provide for continuity of care.
• Communicate with patients/patient representatives and potential funding sources to facilitate patient eligibility for benefits (i.e., Medicaid applications, disability benefits).
• Mentor and educate patients and patient representatives regarding eligibility for and application for specific programs to meet financial, social and/or health care needs.
• Educate patients and patient representative regarding advanced directives and legal protection in order to enhance patient self-determination and protection.
• Speak with patients/patient representatives regarding concerns/grievances and facilitate resolution to ensure customer satisfaction.
• Negotiate and speak with Case Manager regarding all case assignments to ensure a team approach to patient care plans and discharge plans.
• Collaborate with the Case Manager to perform primary Case Manager’s functions and ensure continuity of care in the Case Manager's absence.
• Collaborate with and take instructions from Case Management Supervisor and the Director of Case Management regarding special case situations as needed or requested to obtain direction and support.
• Follow instruction from Case Management Supervisor, the Director of Case Management and/or administrative personnel to perform other functions as assigned in order to achieve the goals within the facility and/or department.
• Operate telephone, dictation equipment, photocopying machine, fax machine, and personal computer in order to communicate with necessary internal and external people and agencies, and to compile patient information.
• Maintain and ensure a safe environment for the department.
• Handle and operate all necessary equipment and perform required duties according to established safety standards to maintain compliance with regulations and prevent injury.
• Assist with ensuring cleanliness of equipment and environment.

QUALIFICATIONS (Education/training and/or Experience)

Bachelors Degree in Social Work from an accredited school of social work. One year of social work experience preferred. Experience with the elderly and/or disabled preferred. Must possess current CSW (Certified Social Worker) certification or obtain certification within the first three months of employment.

Background checks are conducted. When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.

Benefits:

• 403(b)
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person