Social Worker MSW

Job Title: Social Worker MSW

Location: RWJUH Somerset

Department Name: Eating Disorders Unit

Req #: 0000267516

Status: Salaried

Shift: Day

Pay Range: $80,000.00 - $98,700.00 per year

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Summary:

The Social Work Case Manager provides direct case management services to patients and their families utilizing an interdisciplinary team approach.

A typical day as a Social Worker MSW may look like:

• This role requires a working knowledge of case management responsibilities and topics including, but not limited to: assessment and documentation,discharge planning, transitions of care, interdisciplinary rounds, regulatory compliance, utilization management, revenue cycle, healthcare financing,inpatient capacity, patient flow, and healthcare related social needs (social determinants of health),
• This role requires collaboration with the interdisciplinary team, including physicians, clinical nurses, and others as needed,
• The Social Worker will actively participate in initiatives that improve key performance indicators (such as length of stay, throughput) that align with RWJBH System Goals and ensure continuity of care
• The Social Work Case Manager will provide clinical social work interventions, including supportive counseling, crisis intervention, and psychotherapeutic approaches that address psychosocial distress arising from illness, grief and loss, trauma, or other major life events
• Conduct comprehensive assessments in the electronic health record
• Develop and implement individualized clinical interventions to support safe discharge, reduce readmissions, and coordinate care
• Participate in interdisciplinary rounds (IDR), presenting cases and communicating discharge planning updates
• Utilize health risk assessments and Social Determinants of Health (SDOH) screenings to identify at-risk patients and coordinate appropriate
• referrals
• Complete timely referrals for post-acute care services (e.g. DME, home care, facility placement) using electronic referral systems
• Ensure compliance with CMS Conditions of Participation, HIPAA, and organizational policies
• Utilization Management - Timely admission review, Continued stay review performed concurrently
• Collaborates with physician advisor on the level of care changes, denials, and communication issues with other physicians
• Identification of inappropriate resource utilization
• When issuing a letter to the patient/family concerning level of care changes, denial of days, etc, explains to the patient/family the UM process and federal regulations as they pertain tot the individual case
• Interfaces with third-party payers for the purpose of providing pertinent clinical data and for initiating and maintaining clear channels of communication to maximize reimbursement
• Proactively manage patient flow by identifying discharge barriers and escalating complex issues to appropriate leaders
• Address healthcare-related social needs by assessing and coordinating appropriate SDOH services to support safe discharges
• Participate in ongoing professional development, quality improvement, and department-wide initiatives focused on LOS reduction, performance and engagement
• Conduct specialized psychosocial assessments, when indicated, including (but not limited to) hemodialysis, transplant, perinatal, and oncologic
• Provide evidence-based clinical social work interventions, addressing the intra- and interpersonal dynamics of illness, survivorship, life transitions, and end-of-life, with attention to how identity, roles, and systems are reshaped by serious illness
• Other duties as assigned

To be considered for this opportunity, you must have:

• A Master's degree in Social Work (MSW) from an accredited School of Social Work.
• An active Social Work Licensure in the State of New Jersey (LSW or LCSW).
• The flexibility to participate in a weekend and holiday work rotation alongside your team.

• Strongly prefer previous medical social work or hospital case management experience.
• Bilingual language skills in English and Spanish are highly preferred.
• Eligibility or interest in providing field instruction for graduate or undergraduate social work students.