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Medical Case Management Jobs

Ambulatory Social Work Case Manager

ICONMA, LLC
  • Cambridge, MA
  • $42–$45 Per Hour
  • Instant Apply
1 day ago

Job Description

Our client, a Higher Education and Research company, is looking for a Ambulatory Social Work Case Manager for their Cambridge, MA location.
 
Responsibilities:
  • Provides ambulatory case management services to identified client patients through a process of research, patient interview, monitoring of care utilization patterns and development of care plans.
  • Collaborates with clinical staff to provide a comprehensive outpatient care plan.
  • Communicates with treating clinicians on areas of concerns and provides clinical updates to clinicians on a regular basis.
  • Participates in assuring that client is in the forefront of applying Case Management principles.
  • Educates medical staff to criteria/guidelines as appropriate.
  • Works with team leader to identify areas of concerns in clinicians practice patterns and assists in development of resolutions.
  • Identifies potential quality of care issues.
  • Assists in development of reports, resources required by other departments.
  • Excellent organizational, analytical, problem solving and interpersonal skills.
  • Assists client patients and their families in coordinating medical, social, emotional, insurance, and vocational issues related to injury or illness. Conducts psychosocial assessments, either in-person or telephonically, in order to develop a comprehensive out-patient care plan that guides work with patient. Collaborates with physicians, nurses, support staff, community agencies, and other health care professionals to implement safe, effective, and timely patient care. Communicates with treating clinicians on areas of concerns and provides clinical updates to clinicians on a regular basis. Provides timely and appropriate documentation in patient's electronic medical record. Participates in assuring that client is in the forefront of applying Case Management principles. Participates in achieving the goal of cost effective, high quality, continuous care to patients; communicates effectively with clinicians, patients, and team leader to achieve this goal. Utilizes team leader as appropriate for clinical consultation and to apprise of legal, ethical, risk issues that may affect the patient, family, or health services. Maintains quality assurance and improvement activities in compliance with client standards. Assists in development of reports and resources required by other departments.
  • Assumes responsibilities of an active caseload, including following patients throughout the continuum of care.
  • Provides Ambulatory Case Management services to identified client patients through a process of research, patient interview, development of care plans and monitoring of care.
  • Researches clinical history of identified patients using all necessary and appropriate resources.
  • Provides a clinical assessment either telephonically or as appropriate in person to assess patient’s needs and perception of their health status.
  • Provides pre-operative outreach and assessment to identified student athletes.
  • Assists client patients and their families coordinate medical, social, emotional, insurance, and vocational issues related to injury or illness.
  • Educates patients and families regarding Advance Directives and assists patients and families in completing Advance Directives.
  • Promotes effective communication with hospitals and their departments.
  • Educates them to resources available at client.
  • Participates in/attends IM Team Meetings and daily huddles.
  • Participates in/attends client committees/work groups when appropriate.
  • Communicates with primary care clinician, patient, and home care provider to ensure medically necessary services.
  • Regularly communicates with patients requiring post- discharge service to assess patient satisfaction and that appropriate services are in place.
  • Evaluates utilization and effectiveness of Home Care provider network.
  • Assess quality of care of Home Care providers as well as responsiveness.
  • Addresses areas of concerns with manager to ensure optimal quality of care for patients.
  • Educates patients/families about non-skilled services for patients when necessary.
  • Assists in arranging for these services when patients/families allow.
  • Acts as a liaison between patients and client to assist in coordinating follow up services.
  • Ensures the department maintains effective communication with other client Departments.
  • Educates client staff about Care Coordination’s scope of service and how to utilize client case managers as resources.
  • Identifies areas of improvement; recommends and implements solutions.
  • Actively participates in project development. Collaborates with manager to implement, evaluate, and support programs to maximize utilization of available resources.
  • Assists in maintaining a Quick Reference Resource Guide.
  • Educates patients/families/caregivers as to trajectory of certain disease processes and level of support/care needed throughout disease process.
  • Educates patients/families about health insurance processes and when appropriate benefits. Directs patients/families where to learn more about health insurance benefits.
  • Provides supportive counseling to patients and families to enhance coping skills and resolve concerns.
  • Provides supportive counseling to patients and families considering changes in living situations or managing changes related to a medical condition.
  • Collaborates when appropriate with BCBS MA Nurse Case Manager in case management of HUSHP/HUGHP patients with complex medical and psychosocial needs.
  • Develops a comprehensive treatment plan. Monitors and assesses appropriateness of treatment plan and makes appropriate modifications as necessary.
  • Communicates with PCP or treating clinician on areas of concern in addition to ongoing updates on clinical progress.
  • Reports incidences of suspected abuse and neglect of children, elders, and individuals with disabilities to appropriate designated state agency.
  • Organizes and participates in patient case conferences as needed Provides timely, appropriate, comprehensive clinical documentation in patient's electronic medical record.
  • Provides cross coverage for co-workers as needed.
  • Is punctual and prepared for duties at start of shift.
  • Is reliable and dependable in coming to work.
  • Gives appropriate notice to manager when unexpected circumstances call for staff member to be away from work.
  • Utilizes time productively.
  • Participates in the orientation of new staff members.
  • Identifies own learning needs and requests assistance from others when needed.
  • Works independently, as well as collaboratively, with all members of the health care team.
  • Treats patients with dignity, respect, and compassion.
  • Provides prompt care/service and behaves sensitively in all interactions.
  • Deals with others in a sensitive, tactful, positive, and courteous manner.
  • Accepts and acts upon feedback.
  • Utilizes team leader as appropriate for clinical consultation and to apprise of legal, ethical, risk issues that may affect the patient, family, or health services.
  • Age specific and cultural competencies:
  • When communicating with the geriatric patient pays attention to potential auditory deficits.
  • Adapts qualities of voice (volume, tone and speed) as appropriate.
  • When providing documentation to the geriatric patient, pays attention to visual needs.
  • Utilizes larger size font as needed.
  • While meeting with the geriatric or disabled patient provides appropriate environment for patient.
  • Modifies office space to accommodate wheelchairs or utilizes conference rooms when meeting with patient and family members.
  • Utilizes community agencies specific to the geriatric patients as needed.
  • Provides information on such programs as Meals on Wheels, Elder Services Council on Aging, etc.
  • When making arrangements for home care services identifies professional with appropriate skills to provide care.
  • When speaking with young adult provides a comfortable and confidential environment.
  • When appropriate, allows young adult to maintain control while providing information and suggestions.
  • Assess patient’s ability to manage issue; encourages parent and/or adult participation, as necessary.
  • Notifies appropriate adult and/or staff when met with resistance, as needed.
  • Coordinates with necessary individuals such as university staff and/or parents in discussion of student issues when appropriate.
  • Recognizes impact of illness on ADLs, family, and financial responsibilities.
  • Assesses patient’s ability to cope with impact of illness. Provides support and education on available resources, i.e. CAMHS, BH, disease specific support groups, etc.
  • Encourages and promotes adult in maintaining optimal level of functioning and independence.
  • Is aware of and sensitive to differences in patients’ demographics, including race, ethnicity, socioeconomic status, gender, age, disability, literacy levels, sexual orientation and gender identity, in order to make informed decisions regarding what best fits his/her needs and lifestyle.
  • Compliance:
  • Adheres to the expectations and professional responsibilities of the department.
  • Adheres to the client Code of Conduct.
  • Employs the standards, practices, and procedures of the department.
  • Completes and complies with client training requirements including HIPAA Privacy and Security.
  • Reports non-compliance incidents to the supervisor, manager, and/or Compliance Officer.
  • Wears modest, neat, professional business attire. Wears identification badge.
 
Requirements:
  • Masters in social work. Current license to practice social work in Massachusetts, either LCSW or LICSW.
  • Minimum of 2 years of social work experience in medical setting.
  • Familiar with managed care and case management principles.
  • Ability to work independently and as part of a team. Familiar with care needs of medically complex young adult, adult, and geriatric populations.
  • Ability to provide a high level of customer service to patients, staff, and external customers in a professional, service-oriented, respectful manner in using skills in active listening and problem solving.
  • Excellent organizational, analytical, problem solving and interpersonal skills.
  • Minimum of three years social work experience in medical setting.
  • Familiar with managed care and case management principles.
  • Familiar with care needs of medically complex children, adults and geriatrics populations.
  • Master's Degree
  • Required – Masters in Social Work. Current license to practice social work in Massachusetts, either LCSW or LICSW.
  • Preferred - Case management certification preferred.
  • Worker must provide a Letter of Good Health, signed by a physician, and an immunization record that shows compliance with client Immunization Policy, to client HR, on first day of assignment.
 
Why Should You Apply?

Numbers & Facts

LocationCambridge, MA
Salary$42–$45 Per Hour

Skills

  • Analysis Skillsunmatched
  • Auditoryunmatched
  • Case Managementunmatched
  • Certified Case Manager (CCM)unmatched
  • Change Managementunmatched
  • Clinical Assessmentunmatched
  • Clinical Researchunmatched
  • Clinical Study Publicationsunmatched
  • Communication Skillsunmatched
  • Community Supportunmatched
  • Customer Support/Serviceunmatched
  • Customer Trainingunmatched
  • Diseaseunmatched
  • Documentationunmatched
  • Electronic Medical Recordsunmatched
  • Employee Orientationunmatched
  • Financial Managementunmatched
  • Geriatricsunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Healthcare Providersunmatched
  • Healthcare Qualityunmatched
  • Higher Educationunmatched
  • Home Careunmatched
  • Hospitalunmatched
  • Insuranceunmatched
  • Interpersonal Skillsunmatched
  • Legalunmatched
  • Licensed Clinical Social Worker (LCSW)unmatched
  • Literacyunmatched
  • Managed Careunmatched
  • Medical Conditionsunmatched
  • Medical Recordsunmatched
  • Medical Treatmentunmatched
  • Medicineunmatched
  • Needs Assessmentunmatched
  • Nursingunmatched
  • Organizational Skillsunmatched
  • Outpatient Careunmatched
  • Patient Assessmentunmatched
  • Patient Careunmatched
  • Patient Educationunmatched
  • Patient Follow-upunmatched
  • Patient Historyunmatched
  • Primary Careunmatched
  • Privacy Controlsunmatched
  • Problem Solving Skillsunmatched
  • Program Evaluationunmatched
  • Project Developmentunmatched
  • Quality Assuranceunmatched
  • Quality Managementunmatched
  • Quality of Careunmatched
  • Regulatory Complianceunmatched
  • Reporting Skillsunmatched
  • Resource Utilizationunmatched
  • Riskunmatched
  • Social Workunmatched
  • Staff Trainingunmatched
  • Team Lead/Managerunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Treatment Planunmatched

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