POSITION SUMMARY
This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care of the population that it serves which includes planning for a safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS
1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May supervise other staff.
8. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
MINIMUM QUALIFICATIONS
Requires a Master's Degree in Social Work, Counseling or related field (requirement is based on business need and regulatory compliance, all positions may not have this requirement).
Requires a Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master’s Degree and be a Licensed Social Worker. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 2-3 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the Acute facility need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.
PREFERRED QUALIFICATIONS
Certification for CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy
Master Social Worker Care Coordination • Sun City West, R4411620
Join Aurora Behavioral Health System located at 6015 W.Peoria Ave Glendale, AZ 85302 and become a part of the state's largest free-standing behavioral health system.Our Level 1, acute care hospital... Show more
Surrogates Start at $67K$87K+ $1,250 Bonus + $11K Pre-Pregnancy Payout.Looking for a high-paying opportunity with real support and no upfront costs?.Become a Surrogate and earn up to.All expenses ... Show more
Do You Qualify to Be a Gestational Carrier?.GESTATIONAL CARRIERS ARE NOT GENETICALLY RELATED TO THE BABY.Are you ready to change a family's life forever — and be rewarded for it?.Willing to complet... Show more
Abrazo Medical Group - Biltmore Cardiology | Tenet Healthcare.Since 1994, our nine-location cardiovascular group has been a cornerstone of cardiac care in the region, supported by over 28 expert ph... Show more
Mental Health Therapist - Professional Counselor - Licensed Social Worker - Marriage and Family Therapist Join our team to positively impact patients and work collaboratively with dedicated healthc... Show more
We are seeking responsible, emotionally grounded women who feel called to help someone experience the joy of parenthood by becoming a surrogate.As a surrogate, you will play a life-changing role in... Show more
Join the growing team of Advanced Practice Providers with Banner Health in the Phoenix Northwest Valley!.Top 5 Large Health System and one of the country's premier non-profit healthcare networks is... Show more
Welcome to the US Visa Sponsorship Program by Flint Healthcare, Inc.Please fill in your details so we can assess your fit and reach out to you for an interview should you qualify.We are seeking a c... Show more
Progressive cancer research & treatment center.Best Cancer Hospital Los Angeles.The Company is in search of a Market President to lead the delivery of exceptional care for cancer and related diagno... Show more
Personal Financial Counselor - Luke AFB.This position will provide personal financial services at assigned military installations.Primary responsibilities include the full breadth of personal finan... Show more
About the Role Eleutheria is hiring a Certified Occupational Therapy Assistant (COTA) for the Casa Grande/Maricopa area for the 2025‑26 school year (open immediately).The COTA will provide direct s... Show more
As a Direct Care Worker, you will be at the forefront of the company working in a rewarding, challenging, and dynamic environment as the go-to person for our members! In this important role, you wi... Show more
PHOENIX CHILDREN'S HOSPITAL - 74550007.Mornings and afternoon/evenings - varying days, and some weekends/holidays.More details will be provided during the interview process.Working with Sodexo is m... Show more
Do You Qualify to Be a Gestational Carrier?.GESTATIONAL CARRIERS ARE NOT GENETICALLY RELATED TO THE BABY.Are you ready to change a family's life forever — and be rewarded for it?.Willing to complet... Show more
Arizona MENTOR,a member of the Sevita family, provides services for adults and children with intellectual and developmental disabilities, mental illness and other complex needs.Direct Support Profe... Show more
Economic Development Coordinator.The Economic Development Coordinator manages the City's Customer Relationship Management (CRM) database, ensuring data accuracy, completeness, and integrity to supp... Show more
Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services.Responsible for verifying that behavioral health services are medically necessary and al... Show more
Surrogates Start at $67K$87K+ $1,250 Bonus + $11K Pre-Pregnancy Payout.Looking for a high-paying opportunity with real support and no upfront costs?.Become a Surrogate and earn up to.All expenses ... Show more
Senior Healthcare Staffing Consultant.Glendale, AZ $260,000 - $1,300,000 a year.Step into the Future of Recruitment and Empower Your Career.At MLR, we are revolutionizing healthcare staffing and re... Show more
Copper Springs is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast.We are driven by a profound commitment to prioritize your well-being so you can ... Show more
