Thank you for considering a career at Roper St. Francis Healthcare!

Scheduled Weekly Hours:

0.01

Work Shift:

Days (United States of America)

Location: Roper Hospital - Charleston, SC

Shift: As needed 8:00am-5:00pm

Job Summary:

Under the general supervision of the Supervisor and/or Manager, and according to established policies and procedures, coordinates, negotiates, and manages the care of patients to facilitate achievement of positive clinical and financial outcomes. Works collaboratively with interdisciplinary staff, internal and external to the organization, to facilitate appropriate delivery of healthcare services. The Case Manager MSW integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for planning the ways in which patient care will be provided, the steps in the care process, and the outcomes of care. This role’s objective is to promote a collaborative interdisciplinary care delivery model to achieve optimal clinical, satisfaction, and financial outcomes. The Case Manager MSW participates in quality improvement and evaluation processes related to management of patient care. Work is of a highly confidential nature.

Minimum Qualifications:

Education: Master’s Degree from an accredited school of Social Work.

Experience: One year of clinical experience in at least one of the following areas: Case Management, Social Work and/or Discharge planning. Preference will be given to those with hospital experience.

Licensure/Certification: Currently licensed by the State Board of Social Work Examiners for S.C. Preference will be given to those with Case Management Certification.

Primary Source Verification (if applicable): Social Worker- Labor, Licensing and Regulation (LLR): http://verify.llronline.com/LicLookup/LookupMain.aspx

Knowledge/Skills: Demonstrates knowledge of community resources, government and commercial payer programs benefits and eligibility, and post-acute service regulatory requirements. Demonstrates knowledge of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate. Maintains working knowledge of post -transition of care options based on facilities capabilities and funding accepted. Maintains a working relationship with external providers, services, agencies to facilitate the transition of care. Requires high level negotiation skills and confidence in communicating with and engaging in crucial conversations with physicians and entire healthcare team.

Other: Requires excellent oral and written communications skills. Ability to work in a fast pace team environment. Ability to prioritize and multi-task. Ability to make sound judgements and act professionally under pressure. Ability to maintain confidentiality of sensitive patient information. Must have ability to solve problems independently, prioritize work and design creative solutions when resources or options for discharge are limited.

Contacts: Frequent interaction with interdisciplinary healthcare team, patients/families/caregivers, insurance companies, community organizations, vendors, and regulatory agencies.

Work Demands/Environment: Frequent sitting, walking, standing, stooping, bending. May require lifting or moving items up to 25 lbs, occasionally up to 50 lbs. Requires working under stressful and/or undesirable conditions in a variety of clinical settings or working irregular hours. Frequent exposure to physical and mental disabilities, pain, anguish, grief, and death. Frequent use of finger/hand dexterity. Constant talking or hearing. Corrected hearing and vision to normal range. Minimal risk of exposure to blood, body fluids or tissue. Possible exposure to infectious materials, communicable diseases and/or other conditions common to a healthcare environment. Normal office environment. Requires work under stressful conditions, deadlines, and/or irregular hours. Ability to read and comprehend. Travel may be required.

Roper St. Francis Healthcare is an equal opportunity employer.

As a Roper St. Francis Healthcare teammate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts

• Paid time off, parental and FMLA leave, and short- and long-term disability

• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

Rehab Case Management - Roper Hospital

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@RSFH.com.