Manager, Case Management LCSW

Manager, Case Management LCSW

RWJ New Brunswick, 165 Somerset Street, New Brunswick, NJ 08901

Case Management

Full‑Time, Day Shift

$ - $ per year

The Social Work Manager is responsible for managing the oncology social work team.

• Graduation from an accredited graduate school of social work with an MSW (master's in social work) degree.
• State licensure required by the NJ State Board of Social Work Examiners.
• Licensed Clinical Social Worker (LCSW) required.
• Minimum of two years of experience in social work in a clinical setting, preferably with oncology patients.
• Minimum of five years of clinical work experience, preferably in a healthcare setting.
• Successful completion of all Orientation Programs.

• Three or more years of experience in a hospital setting.

• Ensures the team manages caseloads efficiently and effectively.
• Reviews caseloads to ensure the team applies knowledge of growth and development over the life span.
• Conducts discharge reviews and retrospective reviews as necessary.
• Applies Milliman Care Guidelines and Inter Qual criteria, severity of illness and intensity of service, and level of care changes.
• Collaborates with physician advisor on level of care changes, denials, and communication with other physicians.
• Identifies and addresses inappropriate resource utilization.
• Explains UM process and federal regulations to patient families when issuing letters concerning level of care changes or denials.
• Interfaces with third‑party payers to provide pertinent clinical data and maintain clear communication channels to maximize reimbursement.
• Screens patients in the pre‑admission and admission phases in a timely manner.
• Identifies patient family and system issues through ongoing assessment and addresses them as necessary.
• Assures continuity of care for the social work team.
• Establishes appropriate sources of payment for home care needs and obtains necessary authorizations.
• Anticipates needs for services and equipment in the home and refers appropriately for visiting nurse services, oxygen services, IV services, durable medical equipment, transportation, and other home care needs.
• Effectively allocates and schedules resources, projects staffing needs, and utilizes labor and non‑labor resources to maximize efficiency and quality.
• Adheres to budgetary guidelines, manages budget variances, and implements strategies for desirable outcomes.
• Initiates, individualizes, and implements clinical care protocols based on admitting diagnoses and assessments.
• Supports clinical decision making by using protocols, practice logic, scientific principles, and outcome evidence.
• Works with the social work team to identify and resolve issues.
• Utilizes relevant research findings to select among options for managing patient care issues.
• Contributes to committees, task forces, and quality and cost initiatives as appropriate.
• Upholds American Hospital standards and maintains effective communication with all stakeholders.
• Serves as a resource for regulatory requirements (DOH, TJC, etc.).
• Collects data, documents outcomes, and oversees hospital personnel’s management of patient care outcomes.
• Participates in professional development and provides staff training, orientation, and ongoing education.
• Participates in the development of the patient care delivery system through site visits, presentations, or publications.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts through partners such as NJ Devils, NJ PAC, Verizon, and more!

RWJBarnabas Health is the premier health care destination providing patient‑centered, high‑quality academic medicine in a compassionate and equitable manner, while delivering a best‑in‑class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time.

RWJBarnabas Health is an Equal Opportunity Employer.