Coordinator Care MSWReq #:0000138006

　　Category:Social Work

　　Status:Full-Time

　　Shift:Day

　　Facility:Clara Maass Medical Center

　　Department:Case Management

　　Location:

　　Clara Maass Medical Center, 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109

　　Located in Belleville, Clara Maass Medical Center is a facility of RWJBarnabas Health and provides a complete continuum of care to residents of northern New Jersey. With over 700 physicians and 2,100 employees, we offer advanced treatment for a wide variety of medical conditions. Our facility includes centers for advanced wound care, sleep disorders, bariatrics, orthopedics cardiac services, cancer care, emergency services, and more. In 2017, the Medical Center completed a state-of-the-art campus expansion featuring a new four-story 87,000 square foot building with a private, 32-bed Intensive Care Unit, new Main Entrance and Lobby, Retail Pharmacy, Patient Registration Area and a recently expanded Emergency Department.

　　Clara Maass Medical Center has been recognized nationally for its quality and patient safety by Healthgrades and by The Leapfrog Group, having earned its twelfth Grade A in 2019. The Medical Center has received Disease-Specific Care Certification from the Joint Commission for Acute Coronary Syndrome (ACS), Congestive Heart Failure, Hip Replacement, Knee Replacement, Cardiac Rehabilitation and, Advanced Certification in Palliative Care and is listed by the American Hospital Association as one of Healthcare s Most Wired hospitals. In 2018, the Medical Center earned a designation in LGBTQ Healthcare Equality from the Human Rights Campaign Foundation.

　　We are currently looking for a Full-Time Coordinator Care, MSW to be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness of the continued stay, assist in the development of the plan of care; ensure that the plan is implemented in a timely manner, and identify the expected length of stay (ELOS). The incumbent will work in accordance with the objective and goals of the Case Management Plan and State and Federal guidelines.

　　You Will:

　　Work collaboratively with the inter-professional team, including physicians, social workers, clinical nurses, home care services, and others as needed. This role actively participates in specific clinical initiatives focused on reducing the length of stay (LOS) and continued stay denials, improves efficiency, quality, and resource utilization.

　　Manage the Discharge Planning and clinical review for an assigned group of inpatients to determine appropriateness utilizing standardized criteria (MCG/Interqual), and achieve optimal outcomes and reimbursements.

　　Identify and document variance, avoidable days, and address readmission reasons.

　　Document and escalate external/internal barriers to discharge.

　　Assist in the development of a plan of care and ensure that plan is implemented timely.

　　Discuss with the team where delays are identified; provide direction, assistance, and support in developing strategies and interventions to move patients through the continuum of care.

　　Document and follow up on any delays, and expedite diagnostic testing, treatment, and consults; make a referral to Physician Advisor as needed.

　　Collaborate with the Utilization Review team regarding the medical necessity of inpatient admission, appropriate patient status, and duration of hospitalization.

　　Collaborate with appropriate medical/nursing personnel to influence the appropriate progression of care and timely, safe patient discharge.

　　Participate in multi-disciplinary patient progression rounds.

　　Focus the provider, nurse, and other health care team members on progress towards discharge - including needed tests and procedures, family education, and family and patient readiness for discharge.

　　Collaborate with the team to identify barriers to a timely, safe discharge, and develops a plan to address; monitor progress of the plan.

　　Escalate discharge barriers that the team cannot address to the appropriate next level.

　　Work in collaboration with the patient, family, and health care team to secure and coordinate the services and equipment needed to manage the special health care needs of the patient, post-discharge.

　　Ensure that the patient has a choice, regarding the selection of post-acute vendors in accordance with guidelines

　　Maintain accurate documentation of all patient/family encounters and document appropriately in the medical record and the case management system.

　　Provide information and resources to the patient, family, and post-hospital providers that will help the patient maintain his/her optimal level of health post-discharge.

　　Maintain knowledge of current concepts, research needs, and research strategies related to case management, utilization review, and discharge planning.

　　Maintain knowledge of The Joint Commission, Medicare/ Medicaid, and other regulatory standards and requirements.

　　You Are:

　　Excellent in communication, written and spoken.

　　Able to communicate with health care professionals, and demonstrate diplomacy, tact and a professional demeanor.

　　Knowledgeable of CMS and other review agency standards.

　　Strong in your organizational and interpersonal skills.

　　Effective in collaborating and delegating tasks.

　　Able to relate to diverse age and demographic backgrounds

　　Computer literate and have a working knowledge of software applications (word, excel).

　　Professionally appropriate, with analytical and organizational skills (Required)

　　Masters In Social Work ( Required)

　　RWJBarnabas Health is an Equal Opportunity Employer