Case Manager

About Wvumedicine

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Job Summary

This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department.

Key Responsibilities

• Facilitates referrals of patients to providers.
• Takes crisis calls and works outcomes for patients.
• Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed.
• Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse.
• Provide education to patients and families around issues related to adaptation to the patient’s diagnosis, illness, treatment and/or life situation.
• Participate in multi-disciplinary health care teams.
• Acts as a liaison with community agencies and resources.
• Arrange, procure, and coordinate patient/family pre and post hospital needs.
• Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
• Assisting in obtaining prior authorizations from third party carriers.
• Working with the units in securing beds for admission.
• Preparing or assisting in the preparation of discharge letters.
• May schedule MRI’s, PET’s, and other imaging procedures.
• Works with discharge planners and consult team to secure appointments.
• Schedules new patient visits per established protocols.
• Meets with patients face to face as needed to resolve crisis situations.
• Assists Residents/front desk staff with resolving scheduling problems.
• Covers messages and work ques for providers that are out of the office.

Requirements

• Bachelor’s Degree in Social Work or related field.
• State criminal background check and Federal (if applicable), as required for regulated areas.
• One (1) year of experience in Social Work experience.

Preferred Qualifications

• Current West Virginia Social Work licensure.