Manager, Case Management LCSW

Req #:

Category: Social Work / Community Health

Status: Full-Time

Shift: Day

Facility: RWJ New Brunswick

Department: Case Management

Pay Range: $100, $130,000.00 per year

Location:

165 Somerset Street, New Brunswick, NJ 08901

Job Title: Manager

Location: Morris Cancer Center

Department Name: Case Management

Req #:

Status: Salaried

Shift: Day

Pay Range: $100, $130,000.00 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.

Job Overview:

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

Required:

• 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 2 years of experience in Social Work in a clinical setting required preferably with oncology patients,
• A demonstration ability in casework and counseling, including a minimum of five 5 years of clinical work experience, preferably in a healthcare setting
• Successful completion of all Orientation Programs.

Preferred:

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

Essential Functions:

• Ensures team is managing caseloads efficiently and effectively,
• Reviews caseload to ensure team applies knowledge of growth and development over the life span,
• Discharge review as necessary,
• Retrospective review as indicated,
• Application of Milliman Care Guidelines and InterQual criteria, severity of illness and intensity of service,
• Level of care changes, skilled, intermediate, custodial, Termination of benefits,
• Collaborates with physician advisor on 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 the level of care changes denial of days, etc,
• explains to the patient family the UM process and federal regulations as they pertain to 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,
• Screen patients in the pre-admission and admission phase in a timely manner,
• Identifies patient family and system issues through assessment on a continual basis and addresses issues as necessary: communicates with Utilization Management Social Work, Applies knowledge of growth and development over the life span, Applies the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned caseload, Infants, Adults, Pediatrics, Geriatric, and Adolescent,
• Assesses data reflective of each patient s status and interprets information needed in order to identify each patients age requirements relative to his or her age specific health care needs,
• Assures continuity of care is being followed for social work team,
• Establishes appropriate source of