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Case Manager Social Worker Casual Day Shift

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

0.03FTE

The Case Manager 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.

The Case Manager Serves as the primary liaison between the interdisciplinary team and the patient/caregiver, educates the patient/caregiver on the continuum of care, and facilitates discharge coordination. Follows the patients from admission to discharge. The case manager 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.

Responsibilities:

  • Handles caseload of patients as determined by the manager
  • Forwards assessments and clinical data to payers and external providers to facilitate transitions and payment
  • Communicates team conference and POC recommendations to patient and family and to third parties as indicated
  • Assists with the facilitation of team conferences to ensure that the patient continues to meet LOC criteria and is progressing toward discharge goals in conjunction with the interdisciplinary team.
  • Works with the interdisciplinary team on ensuring procurement of discharge needs for patients in terms of DME, clinical services, and ongoing care to support a safe transition to an appropriate LOC
  • Facilitates family training as needed in order to support a safe transition to the next LOC
  • Assesses the need for and provides referrals to community resources to support the patient safely in the community setting
  • Coordinates with patient/financial services and admissions to ensure smooth transitions between levels of care and manage concurrent denials
  • Provides ongoing education to the interdisciplinary team on patient insurance benefits and the status of LOS approval
  • Requests authorization for a continued stay from payers as recommended by the interdisciplinary team through the concurrent review process. Coordinates appeals on any concurrent denials of requests for continued stay.
  • Reviews patient's progress and medical necessity for a continued stay against protocol and benchmarks and communicate with attending physician and team
  • Monitors and communicates resource utilization with the attending physician
  • Identifies variances from established benchmarks on cost/outcome/LOS and notify physician and team
  • Obtains authorization as required from payer for any special services or procedures
  • Case Managers in pediatrics assist with managing referrals for IRF and outpatient services as well as assists with referral development objectives
  • Case Managers in Pediatrics facilitate return to school after discharge and home/hospital tutoring

AA/EOE.

Qualifications

Required:

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 setting
Previous experience in a rehabilitation setting

Additional Information

Northwestern 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.

Average salary estimate

$60000 / YEARLY (est.)
min
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$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Case Manager Social Worker Casual Day Shift, Northwestern Memorial Healthcare

At Northwestern Medicine, we are on a mission to elevate healthcare, and we're looking for a passionate Case Manager Social Worker for our Casual Day Shift in Wheaton, IL. This role is all about making a real impact on patients' lives, helping them navigate their journey from admission through to discharge. You'll be the essential link between our talented interdisciplinary team and the patients and caregivers, ensuring that they are educated on their care continuum. As a Case Manager, you'll handle a diverse caseload, coordinating discharge plans, and communicating vital information with external payers. Whether it’s facilitating family training or sourcing community resources to support our patients post-discharge, every step you take helps create a smoother transition to their next level of care. If you have a Master’s degree in social work, hold an LSW or LCSW license in Illinois, and have experience in case management or discharge planning, you’ll find a fulfilling opportunity here at Northwestern Medicine. With us, you not only make a difference in healthcare but also enjoy competitive benefits such as tuition reimbursement and 401(k) matching. Join us in our quest for better healthcare and see how your contributions can reshape patient experiences for the better!

Frequently Asked Questions (FAQs) for Case Manager Social Worker Casual Day Shift Role at Northwestern Memorial Healthcare
What does a Case Manager Social Worker do at Northwestern Medicine?

A Case Manager Social Worker at Northwestern Medicine serves as a primary liaison between patients and the interdisciplinary team, educating patients and caregivers about care options and facilitating timely discharges. They manage caseloads, communicate with external payers, and ensure that patients receive appropriate ongoing care. Their role is critical in coordinating resources and support for patients post-discharge.

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What qualifications are required for the Case Manager Social Worker position at Northwestern Medicine?

To qualify for the Case Manager Social Worker position at Northwestern Medicine, you need a Master’s degree in social work, along with a current LSW or LCSW license in the state of Illinois. Previous experience in case management or discharge planning within a healthcare setting is preferred, especially in a hospital or rehabilitation environment.

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What are the benefits of working as a Case Manager Social Worker at Northwestern Medicine?

Working as a Case Manager Social Worker at Northwestern Medicine comes with competitive benefits, including tuition reimbursement, loan forgiveness options, 401(k) matching, and comprehensive lifecycle benefits. These offerings reflect our commitment to supporting our employees both personally and professionally.

Join Rise to see the full answer
How does Northwestern Medicine support patients during the care continuum?

At Northwestern Medicine, we prioritize a patient-first approach by ensuring that our Case Manager Social Workers facilitate smooth transitions and provide ongoing education to patients and their families. Case managers help in planning and coordinating care from admission to discharge, working closely with the interdisciplinary team to support the patient’s needs.

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What is the work environment like for a Case Manager Social Worker at Northwestern Medicine?

The work environment for a Case Manager Social Worker at Northwestern Medicine is collaborative and supportive. You’ll work alongside a dedicated interdisciplinary team focused on high-quality patient care. The culture encourages open communication and professional growth, making it an ideal place for those passionate about making a difference in healthcare.

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What skills are essential for a Case Manager Social Worker at Northwestern Medicine?

Essential skills for a Case Manager Social Worker at Northwestern Medicine include strong communication abilities, organizational skills, and a thorough understanding of healthcare policies and insurance processes. Additionally, critical thinking and empathy are vital to effectively coordinate care and address the unique needs of each patient.

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Is there room for growth as a Case Manager Social Worker at Northwestern Medicine?

Yes, there is ample room for growth for a Case Manager Social Worker at Northwestern Medicine. The organization values professional development, offering opportunities for further training, certifications, and advancement within various healthcare roles across the system.

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Common Interview Questions for Case Manager Social Worker Casual Day Shift
Can you explain your experience with case management and how it prepares you for the role at Northwestern Medicine?

In answering this question, highlight your prior experiences in case management, including specific responsibilities, patient interactions, and multi-disciplinary teamwork. Focus on how these experiences have equipped you with the necessary skills and insights to effectively manage patient care at Northwestern Medicine.

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How do you prioritize your case load when working with multiple patients?

When discussing prioritization, share your strategy for assessing patient needs based on urgency, such as discharge dates or specific care requirements. Emphasize your approach to organizing your tasks efficiently and collaborating with the healthcare team to ensure all patients receive timely care.

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What strategies do you use to educate patients and their families during the discharge process?

Address how you simplify complex medical information into clear, actionable steps for patients and families. Share your techniques for active listening and engaging discussions that help ensure understanding and address any concerns the family may have about the discharge plan.

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Describe a time when you faced a challenge in case management and how you overcame it.

Provide a specific example from your experience when you encountered a challenging situation in case management. Describe the steps you took to resolve the issue, focusing on problem-solving skills, communication, and collaboration with the healthcare team to achieve a positive outcome for the patient.

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How do you ensure compliance with healthcare policies and regulatory standards?

Discuss your approach to staying updated on relevant healthcare policies and regulations. Explain how you implement these standards in your daily responsibilities and engage with team members to promote compliance and support a culture of safety and ethics in patient care.

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What tools and software do you use to track patient progress and manage case loads?

Mention any electronic health record (EHR) systems or case management software you are familiar with. Emphasize your proficiency in using technology to document patient interactions, track progress, and facilitate communication with other care providers.

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How do you engage with external payers on behalf of patients?

In your response, explain how you effectively communicate with external payers to obtain authorizations, resolve denials, and ensure patients receive necessary care. Highlight your understanding of insurance processes and ability to advocate for patients' needs during these interactions.

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What role does teamwork play in effective case management?

Discuss your belief in the importance of collaboration within the healthcare team. Share examples of how teamwork enhances patient care quality and describes your experiences in fostering relationships with various team members to achieve common goals.

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How do you approach referrals to community resources for patients?

Explain your process for assessing patient needs and identifying suitable community resources. Emphasize your knowledge of local services and how you connect patients and families with the support they need for successful discharge and community reintegration.

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What do you believe is the most challenging part of being a Case Manager Social Worker?

Share your perspective on the biggest challenges you anticipate facing, such as managing complex patient cases or navigating insurance issues. Discuss how you approach these challenges positively, leveraging resources and support systems to find effective solutions.

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Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine. The entities involved in Northwestern Medicine remain separate organizations. Northwestern Medicine is a t...

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Full-time, on-site
DATE POSTED
November 25, 2024

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