Providence St. Joseph Health

Job Information

St. Joseph Health / Covenant Health Care Manager Social Worker (RN, MSW, LCSW) in Mission Viejo, California

We are looking for a Care Manager Social Worker with Care Management - MV Department at Mission Hospital Regional Medical Center.

Location: Mission Viejo, CA

Schedule: Full Time

Shift: Day

Job Summary:

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.

Skills:

  • 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.

Position Requirements:

Education (MSW, LCSW): Requires a Master’s Degree in Social Work, Psychology, Counseling and/or a Master’s Degree with five (5) Years relevant social work experience.

Education (RN): Graduate of an accredited school of nursing.

Experience (MSW, LCSW) : Requires six (6) months of clinical experience in an HMO, medical group, affiliated model, hospital or medical/office/clinic setting.

Experience (RN) : Three (3) plus years of clinical experience in an HMO, medical group, affiliated model, hospital or medical office/clinic setting.

Licenses / Certifications: Valid California Driver’s license. Current California Registered Nurse license (RN Only).

Preferred Position Requirements:

Education: Bachelor of Science in Nursing (BSN) or Master’s in a related field highly desirable (RN Only).

Experience: Three (3) years’ experience in utilization management and/or case management highly desirable. Managed care experience.

Licenses / Certifications : CSW. Certification in Case Management (CCM, ACM).

At Mission Hospital with locations in Mission Viejo and Laguna Beach, CA our core values of Dignity, Service, Excellence and Justice translate into an environment where the welfare of our patients always comes before the bottom line.As non-profit acute care facilities, we serve all of south Orange County.Mission Hospital Mission Viejo is a Level II Trauma Center and is the area's designated regional trauma center. We have Centers of Excellence in heart, maternity, trauma, breast care, spine, vascular, stroke and brain injury.Mission Hospital Laguna Beach provides local coastal communities with 24-hour emergency department services, medical/surgical services, behavioral health programs including inpatient and outpatient psychiatric and chemical dependency services and an outpatient eating disorder program.Mission Surgery Center performs approximately 4,500 annual surgeries and provides a safe and convenient outpatient setting. It is accredited by the Accreditation Association of Ambulatory Health Care.We are a member of the St. Joseph Health System, one of only 12 winners worldwide of the Gallup Organization's Great Workplace Award, which recognizes an "extraordinary ability to create an engaged workplace culture"; we've received two Beacon Awards for clinical excellence and in 2012 we received Magnet Designation which recognizes hospitals for top patient care, quality nursing and innovations in nursing and healthcare. We offer a collegial work environment with competitive salaries and benefits.Mission Hospital 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, Mission Hospital 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: Mission Hospital Regional Medical Center

Category: Social Work

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