Social Worker BSW

Summary

The Bachelor of Social Work (BSW) Case Manager plays a pivotal role in maintaining the
quality-of-care patients receive during medical center hospitalization and post discharge while ensuring the
organization is fully reimbursed. The BSWCase Manager (CM) must have a high level of expertise and skill
to create highly effective strategies for short-term and long-term goals in order to prevent readmissions and
address unpredictable situations. BSW CM must be proficient in planning, executing and monitoring
effectiveness of the care provided to ensure timely transition through the continuum of care. Educating and
consulting with the physician and the health care team to ensure timely and appropriate level of care is
achieved. This requires effective skills in conflict resolution, decision making and team building. The BSW
Case Manager practices in accordance with the care management process utilizing tools, standards,
models, goals and objectives, and performance improvement concepts. The BSW Case Manager provides
pertinent clinical data to outside agencies as needed to assure compliance with their requirements and
represents the organization professionally. The ability to analyze, evaluate and distribute resources and
educational information to ensure understanding of services to all educational level is key to the role. The
social worker is responsible for assessing the patient’s psychosocial?spiritual needs, education and
discharge planning needs.

Responsibilities

(30%)* Provide socialwork intervention as it relates to hospitalization including crisis management, health care
decision making, illness adjustment, ethical/legal concerns,discharge planning, and transitional care needs, child
or elder abuse, domestic violence, competency, financial problems, compliances issues, substance abuse,
mental illness as well as other psychosocial barriers to maximizing health status.
(30%)* Work with health care team, patient, family and/or significant others to continually transition the patient to
the appropriate level/place of care. Advocate, mediate, and negotiate, with an emphasis on self-determination
for the patient system, to formulate a cohesive plan for maintaining the patient’s health status, improving social
supports, and moving the patient safely into less restrictive, less costly levels of care according to available
resources.
(20%)* Collaborate with the physician in competency/capacity determination, obtaining legal guardianship,
involuntary psychiatric admission, adoptions, ethical concerns, etc. Complete and disseminate all necessary legal and clinical documentation as needed for resolution.
(20%)* Collaborates with all members of the Care Management Team including physicians, nurses, health
information analysts, and others to provide information relating to admission, continued stay, discharge criteria,
managed care, federal program regulations, reimbursement fundamentals, and regulatory standards on a daily
basis.

 

OTHER DUTIES AND RESPONSIBILITIES:
Complete and document a standard social work psychosocial-spiritual assessment to: Eliminate barriers to
treatment and discharge, increase patient/family satisfaction, improve appropriate utilization of resources.
Serve as the lead in obtaining financial and other resources for patients and families in need.

Identify the need for and conduct family meetings, with or without the physician, that result in understanding,
comfort, decision-making, and other important outcomes, such as discharge.

Integrate relevant theories of family dynamics, crisis intervention, strengths based, solution focused, and
meaning of illness into everyday casework.

Summarize a patient and family situation concisely, with helpful guidance to non-social work staff members
about recommendations for actions to be taken and barriers to discharge.

Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care
arrangements in collaboration with the health care team.

Actively participate in care coordination efforts to successfully identify high-risk factors and respond
appropriately so that key information, next steps and avoidable days are captured and documented. Is an active
participant in the daily care coordination meetings.

Accepts accountability for the clinical outcomes that the Discharge Planning role can facilitate.
Maintains timely, clear and concise documentation in all required systems.

Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements.
Assures compliance with regulatory requirements and acts a resource/liaison to physicians and medical staff
regarding all aspects of Case Management activities.

During Care Coordination Rounds, BSW CM communicates with the health care team a patient-centered plan
that is needs based, appropriate to patient resources, timely and addresses the risk of readmission.

Builds professional relationships with patient, families, facilities and resources to address conflict resolution with
positive outcomes.

Completes all documentation and data entry requirements. Identifies high risk population and addresses
opportunities for intervention.

Willingly and consistently offer to help peers as needed.

 

Communicates teamwork, caring and compassion. Provide excellent customer service with internal and external
customers.

Assume responsibility for professional development and education requirements for maintenance of professional
licensure.

All other duties as assigned.

Certifications and Licensures

BSW - Bachelors of Social Work

 

LLBSW or LBSW required LLBSW or LBSW required at time of hire. Limited
License BSW employees must be actively working to obtain full licensure either
as a LBSW or working towards their LMSW. These employees must pass
licensing exam and complete 4,000 hours of supervised post-d

Required Education

Bachelor's degree is required

Other Information

EXPERIENCE, TRAINING AND SKILLS:
Training and experience, and/or demonstrated competency in casework principles, including diagnosis,
assessment, crisis intervention, treatment and transition planning; techniques in individual, family and group
therapy; awareness of community resources, public assistance and entitlement programs, ensuring transition to
appropriate levels of care; and issues relating to age and stage of development, special needs and cultural
patterns of the patient populations being served.

Knowledge of medical social work practices, processes and procedures as normally acquired through three
years’ experience working in a medical center (preferred), social agency or community organization dealing with
physical and/or mental health and/or welfare.

Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at
all levels to communicate ideas and concepts in a clear and understandable manner.

Adherence to the National Association of Social Workers’ Code of Ethics.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in
Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by
MyMichigan Health.

Membership in at least one professional organization (i.e. NASW, Society for Social Work Leadership in Health
Care (SSWLHC)MI Chapter, national SSWLHC, etc.) preferred.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICALWORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death.
Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for
your position.
Is able to move freely about facility with or without an assisted device and must be able to perform the functions
of the job as outlined in the job description.
Overall vision and hearing are necessary with or without assisted device(s).
Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as
stooping, kneeling or crouching.
Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan
Health bloodborne pathogen and TB testing as required.
Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance
and ability to stay awake.
Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require
repetition of these movements on a regular to frequent basis.
Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.