Case Manager/Care Manager for Joint Base Andrews, MD. Licensed Clinical Social Worker (Independent) provides case management, care coordination, and discharge/disposition planning for both inpatient and outpatient settings.
Case Management Duties:
- Assists service members, veterans, and their families in accessing appropriate healthcare options for a variety of conditions including acute, chronic, complex, and catastrophic illnesses, as well as mental health issues like combat stress and traumatic brain injury adjustments.
- Coordinates care across multiple providers and care levels, addressing both psychosocial and medical needs.
Assessment Responsibilities:
- Proactively identifies patients and families for case management from various sources, including discharge planning, referrals, and Medical Evaluation Board (MEB) processes.
- Conducts comprehensive assessments encompassing the patient’s physical, emotional, psychological, social, and medical status through direct contact and information from caregivers and medical records.
Planning:- Develops tailored care plans with short and long-term goals, coordinating with patients, families, primary providers, and the healthcare team.
Implementation:
- Guides patients and families through the healthcare system, enhancing resource utilization.
- Executes care plans, coordinating all necessary referrals and advocating for patient education
Coordination:- Manages care delivery in various settings, including alternate healthcare environments and home settings, to improve health, safety, and quality of life.
- Develops and maintains connections with military and community resources to optimize service access.
Monitoring and Evaluation:- Regularly updates treatment plans and maintains documentation as per Department of Defense (DoD) and other relevant guidelines.
- Monitors treatment adherence and evaluates outcomes, identifying any deviations from standard practices.
Additional Duties:
- Travels as needed for patient advocacy and to ensure appropriate living conditions.
- Participates in interdisciplinary team meetings, sharing insights from clinical practice and social work.
QUALIFICATIONS OF THE SOCIAL WORKER CASE MANAGER:- Degree/Education: Master of Social Work (MSW) degree from an accredited school of social work.
- Certifications in addition to Basic Life Support: Certified Case Manager by Commission for Case Management (CCM) or National Association of Social Workers (NASW)
-OR-- certification eligible with 2 years of full-time experience in case management for adults, children, families, seniors, and groups.
Experience:
- Minimum of 2 years full-time experience in professional case management or discharge planning programs for adults, children, families, seniors, and groups.
- Must have the knowledge to effectively apply the following core case management functions:
- a) Assessment: Identification of patients for case management;comprehensive collection of patient information and medical status;and continued evaluation of an established plan of care;
- b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care;
- c) Facilitation: Care coordination and communication among all involved parties;and
- d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
- Must be knowledgeable in theories, principles, and methodologies underlying psychosocial practice;developmental growth;dynamics of human behavior, family, and other social systems;and the impact of illness and disability on social functioning;medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]), and accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC);and computer applications/software to include Microsoft Office programs, MS Outlook (email), and internet familiarity is required.
- Must be skilled in program planning, implementation, and evaluation, and in conducting individual, family, group, and community assessments;applying critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations;and problem-solving to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.
- Board Certification: must be in compliance with Exhibit 5 requirements for a Social Worker-Case Manager.
Licensure/Registration: A current valid license with no adverse action pending from any state or national licensing/certification agency. A Social Worker license is defined as a license that allows the Social Worker to work independently without clinical supervision.
- US Citizenship required (for access to government computer systems).
- BLS for Healthcare Providers
MDPerm is an Equal Opportunity Employer. MDPerm does not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business needs.