St. Joseph Health / Covenant Health Care Manager Social Worker in Fullerton, California
We are looking for a Care Manager Social Worker with Care Management Department at St. Jude Medical Center.
Location: Fullerton, CA
Schedule : On Call/ Per Diem
Shift: 8 Hour Day Shift
Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through effective resource coordination and addressing the psych social needs of the patient. The goal of the Care Manager, Social Worker is to advocate for and assist the patient in the achievement of optimal health, access to care, and appropriately utilizing resources. The Care Manager Social Worker utilizes the following processes to meet the patient’s individual healthcare needs: assessment, planning, implementation, coordination, monitoring and evaluation of the plan of care. The management of resources and the coordination of the continuum of care will be performed in a manner consistent with the mission vision and core values of St. Joseph Health.
Knowledge of managed care principles utilization management, case management and healthcare provided throughout the continuum.
Knowledge of physical and psychological characteristics of disease processes, recognizes potential clinical problems, and recommends intervention in a preventative, pro-active way.
Excellent interpersonal, verbal and written communication skills.
Ability to problem-solve.
Ability to access and evaluate community resources to meet patient’s needs.
Ability to handle multiple tasks at a time and remain organized.
Ability to work autonomously but demonstrates the ability to work collaboratively on a team.
Ability to work in an ambiguous environment; work effectively under pressure due to changes in priorities.
Excellent computer and IT system knowledge.
Possesses the knowledge and skills necessary to communicate with third party payers.
Establishes and maintains a good rapport with physicians and interacts well with all internal and external customers in a professional and courteous manner.
Basic computer skills including Windows, Microsoft Word, internet navigation and an e-mail system.
Proficiency in Milliman Care Guidelines.
Education: Requires a Master’s Degree in Social Work, Psychology, Counseling and/or a Master’s Degree with five (5) years relevant social work experience.
Experience: Requires six (6) months of clinical experience in a HMO, medical group, affiliated model, hospital or medical office/clinic setting.
Licenses / Certifications: Current American Heart Association BLS Health Care Provider.
Preferred Position Requirements:
Experience: Three (3) years’ experience in utilization management and/or case management highly desirable. Psychiatric chemical dependency treatment. Managed care experience.
Licenses / Certifications: Licensed Clinical Social Worker (LCSW). Certification in Case Management (CCM, ACM).
St. Jude Medical Center is a faith-based, non-profit, 384-bed, tertiary care facility, and is one of Southern California's most-respected and technologically-advanced hospitals. With nearly 700 of the area's finest physicians on staff, St. Jude offers nearly every medical specialty and sub-specialty. Whether for the birth of a baby, life-saving surgery or a routine mammogram, St. Jude continues to set the standard for medical care and offers the community the most comprehensive array of services and programs.St. Jude Medical Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Jude Medical Center complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Positions specified as “on call/per diem” refers to employment consisting of shifts scheduled on as “as needed basis” to fill in for staff vacancies.
Company: St. Jude Medical Center
Category: Social Work
St. Joseph Health / Covenant Health
- St. Joseph Health / Covenant Health Jobs