Social Work Case Manager, Lead LCSW, Care Coordination

Position: Social Work Case Manager, Lead LCSW, Care Coordination, Full-TIme, Days
Location: California

* At least three (3) years of combined acute or sub-acute clinical social work experience in medical and/or healthcare settings with recent and progressively more responsible leadership experience.
* Accredited Case Manager (ACM-SW) or Certified Social Work Case Manager (C-SWCM) preferred.
* Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.
* Adhere to the professional ethics, practice, and Values ad delineated by the National Association of Social Workers (NASW) Code of Ethics.
* Leadership skills to delegate, functionally supervise, provide direction/guidance to staff and hold others accountable are required.
* Must have the ability to work independently with a minimum of direction, anticipate and organize workflow, prioritize and follow through on responsibilities.
* Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Strong attention to detail and accuracy is required.
* Must have the ability to work in a high-volume case load environment and deal effectively with rapidly changing priorities.
* Demonstrated ability to work constructively with a broad spectrum of health care professionals is required.
* Must be assertive and creative in problem solving, system planning and management.
* Proficient computer skills are required including use of Electronic Health Record and other IT applications.
* General knowledge of supervisory principles/applications is required.
* Must have a working knowledge of disease processes, current treatments and their physical and psychosocial sequelae.
* Knowledge of individual and family development over the life span is required.
* Knowledge of the influence of cultural and spiritual values on health care is required.
* Basic knowledge of applicable laws, regulations, and accreditation guidelines (e.g., CMS, DHCS, The Joint Commission, EMTALA, Title 22, and DOJ) is required.
* Basic knowledge of government and private insurance benefits (e.g. Medi-Cal, Medicare, DRGs, managed care, capitation), including reimbursement requirements is needed.
* Must know child, elder and dependent adult and domestic violence reporting requirements.
* General knowledge of available health care and community resources appropriate for populations served is required, broad/in-depth knowledge is preferred. Working knowledge of Inter-Qual criteria.
* Current Licensed Clinical Social Worker (LCSW) with the California Board of Behavioral Sciences (BBS).
* Certified as a Basic Life Support provider (BLS-HCP) within 90 days of hire.
* Integrative Agitation Management (IAM) and TEAM Advanced Certification upon hire and maintained annually.
* Accredited Case Manager (ACM-SW) or Certified Social Work Case Manager (C-SWCM) preferred.
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