Social Worker, MSW, Complex Case Management, AH Cabarrus, FT, Days
7 days ago
11200 Atrium Health Cabarrus - Case Management
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday through Friday
Pay Range
$32.45 - $48.70
Major Responsibilities:
- Provides care management/social work services to Complex patients, families, and individuals including perming thorough patient psychosocial assessments, screening, determination of needs evaluation, appropriate interventions and follow up, and discharge planning. Implements targeted interventions and patient-family centered care plans to achieve optimal health outcomes. Care plans are substantiated by assessment as appropriate to the needs of the patient/client system and consistent with available resources and payer network. Collaborates and negotiates effectively with socially complex patients, family and the clinical team while striving to achieve patient and organizational goals regarding care needs, choices, and satisfaction during discharge planning and care transitions.
- Provide continuity of care and discharge planning services for socially complex patients compliant with regulatory standards. Offers coordinated, relevant options and services based on assessed needs to ensure patient, families, and the healthcare team are informed and prepared to proceed with accountabilities in a timely manner. Participates in the communication processes to facilitate smooth transitions for patients, families, and staff during patient transfers.
- Provides advanced care management guidance and mentorship to frontline care management team members fostering a culture of excellence and continuous improvement. Lead initiatives aimed at enhancing care quality, patient safety, and overall healthcare delivery efficiency. Creates relationships with community resources to facilitate referrals for Complex patients and is viewed as an expert with area resources.
- Initiates internal and external referrals to ensure timely progression of care and transitions for socially complex patients. Documents discharge planning interventions and utilization review activity according to department and organization standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews for socially complex patients based on approved criteria by department standards. Advocates for patients and their families to ensure their voices are heard and their needs are met within the healthcare system while optimizing the utilization of hospital resources ensuring cost-effective care delivery and adherence to regulatory guidelines.
- Communicates effectively with the healthcare team regarding socially complex patients. Partners with RN Care Manager and unlicensed support personnel to effectively establish and implement a safe plan of care. Serves as a leader of the multidisciplinary rounds and work closely with clinical team members, hospital departments and ancillary services to identify and resolve barriers to discharge, expedite care delivery to avoid delays in timely service provision, and implement and report on care coordination and discharge planning.
- As an expert in care management of socially complex patients, collaborates and leads discussions with managers, physicians, medical directors, advisory groups, and treatment teams for issues related to physician practices and best practices for patient care plans. Refers cases to physician advisors as needed to ensure efficient progression of care, accurate status, and compliance with regulatory guidelines. Maintains knowledge of healthcare regulations, reimbursement issues, impact on length of stay and community-based resources. Delivers CMS regulatory notices within CMS established timeframes, as appropriate based on-site guidelines.
- Develops and maintains productive relationships with community-based agencies, particularly those serving socially complex patients. Represents Advocate Health in a positive manner, working collaboratively, internally and externally to meet patient and family needs. Collaborate with Advocate Health Ambulatory Care Management and Continuing Health to achieve mutual goals and outcomes. Responsible for staying current on changes in the healthcare landscape as it pertains to post-acute placement venues and the offerings of various venues. Responsible for updating the team and the SharePoint site with current information.
- Serves as a leader in the multi-disciplinary health care team to develop safe and timely coordination of care including but not limited to post-acute placement, palliative/hospice service lines, medical equipment, home healthcare, outpatient follow up, mental health resources, and other community resources. Advocates for patient involvement in the plan of care. Initiates and coordinates interventions with the activities of other members of the health care team. Coordinates and leads Care Conferences for Complex patients. Serves as a leader to follow up with internal partners, such as financial advocates, Patient Access, Level II assessors, and other multi-disciplinary teammates to drive optimal results and reduce delays in patient throughput
- Maintains up-to-date knowledge of community resources, legislation, and regulations impacting health care delivery and educating patients and families on these issues as appropriate. Provides resources to patients and families to ensure a timely discharge and to provide an appropriate link with post-acute care providers and services. Provides support and connection to additional services such as bereavement and loss, ethical issues, advanced directives, and end of life issues. Connects patients to appropriate agencies on issues of suspected abuse and neglect, domestic violence, guardianship, and other social matters. Collaborates with community agencies and institutions to plan continued care and to coordinate interventions. Provides resources and education to patients and families regarding appropriate resources and access to community social services. Provides education to patients/families regarding Advance Directives for health care decision-making. Assists with execution of these documents as appropriate. Participates in legal proceedings as necessary to secure legal decision-makers.
- Manages the progression of patients stay with the goal of optimizing the LOS and ensuring appropriateness of assigned Level of Care. Manages the patient's care across the continuum to decrease unnecessary readmissions. Manages and coordinates patient care within an ACO environment to help facilitate patient outcomes through in network care coordination. Accountable for site specific KRA goal achievement as it relates to Care Coordination across the continuum. Participates in the orientation of new staff and/or education of social work students. Aggregates, analyzes, interprets and reports data on patient outcomes and resource utilization. Facilitates reporting of utilization monitoring and review activities to relevant committees and stakeholders
Education
- Master's Degree in Social Work
License
- WI & IL Divisions: LSW license issued by the State in which the team member practices
- NC & GA Division: No license required
- Maintains professional standards and responsibilities for his/her own professional practice according to accreditation, hospital, system, state and NASW Standards and Code of Ethics. Completes all required continuing education to maintain licensure and increase knowledge within area of practice specialty.
- Accredited Case Manger SW (ACM-SW) certification issued by the American Case Management Association (ACM) needs to be obtained within 2 years, or
- Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to be obtained within 2 years, or
- Certified Social Worker in Health Care (C-SWHC) issued by National Association of Social Workers to be obtained within 2 years
- 3 years of hospital care management experience.
- Ability to prioritize and organize work.
- Effective communication skills.
- Utilization of critical thinking and timely decision making.
- Ability to navigate the electronic health record.
- Basic utilization of MS Office products.
- Knowledge of Medicare A and B guidelines.
- Knowledge of managed care program requirements/implications.
- Ability to apply elements of utilization management programs.
- Must be able to sit up to approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time.
- Must lift up to 10 lbs. continuously, up to 20 lbs. frequently, and up to 50 lbs. occasionally.
- Manual dexterity required for operation computer and calculator.
- Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately.
- Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone.
- Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
- Exposed to normal office environment; including usual hazards related to operating electrical equipment.
- Operates all equipment necessary to perform the job.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
-
Registered Nurse I
6 days ago
Concord, NC, United States IntelyCare Full timeRegistered Nurse I - Ah Cabarrus - Neurosciences - Prn Join our 28-bed neurosciences unit at Atrium Health Cabarrus, proudly recognized by The Joint Commission as an advanced thrombectomy capable stroke center and a pathway to excellence designated hospital. Our team provides exceptional care to patients with stroke, seizure disorders, multiple sclerosis,...
-
RN - Case Manager
2 weeks ago
Concord, NC, United States Atrium Health Cabarrus - AC Full timeDetailsClient Name Atrium Health Cabarrus - AC Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 34690002 Job Title RN - Case Manager Weekly Pay $2226.0 Shift DetailsShift Day - 8x5 - 09AM Scheduled Hours 40 Job Order DetailsStart Date 10/27/2025 End Date 01/24/2026 Duration 13 Week(s) Job Description Job Title: RN - Case Manager...
-
RN AH Cabarrus Operating Room FT Days w Call
5 days ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 37703 Atrium Health Cabarrus - Surgery Room Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: Weekdays Pay Range $34.90 - $52.35 This position is Sign-on Bonus eligible. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits packages and paid time off....
-
RN AH Cabarrus Operating Room FT Days w Call
2 weeks ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 37703 Atrium Health Cabarrus - Surgery Room Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: Weekdays Pay Range $34.90 - $52.35 This position is Sign-on Bonus eligible. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits packages and paid time off....
-
RN AH Cabarrus Operating Room FT Days w Call
24 hours ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 37703 Atrium Health Cabarrus - Surgery Room Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: Weekdays Pay Range $34.90 - $52.35 This position is Sign-on Bonus eligible. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits packages and paid time off....
-
RN - Case Management
2 weeks ago
Concord, NC, United States Atrium Health Cabarrus Full timeDetailsClient Name Atrium Health Cabarrus Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 34690123 Job Title RN - Case Management Weekly Pay $2400.0 Shift DetailsShift Day Shift - 8 hours Scheduled Hours 40 Job Order DetailsStart Date 12/02/2025 End Date 03/03/2026 Duration 13 Week(s) Job Description Coast Medical Service is a...
-
Registered Nurse I
7 days ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 37125 Atrium Health Cabarrus - Nursing: Neurosciences Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: 7P-7A; Required 3 shifts in 6-week period Pay Range $34.90 - $52.35 Where You Will Work: Join our 28-bed Neurosciences Unit at Atrium Health Cabarrus, proudly recognized by The Joint Commission...
-
Registered Nurse
1 week ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 34406 Atrium Health Cabarrus - Nursing Med Surg: IU 2GHI Overflow Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: This position is Sign-on Bonus eligible. Based on eligibility Pay Range $34.90 - $52.35 Where You Will Work: Exciting place to start your nursing career! 2CGHJ is a 51-bed medical...
-
Registered Nurse
2 weeks ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 34406 Atrium Health Cabarrus - Nursing Med Surg: IU 2GHI Overflow Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: This position is Sign-on Bonus eligible. Based on eligibility Pay Range $34.90 - $52.35 Where You Will Work: Exciting place to start your nursing career! 2CGHJ is a 51-bed medical...
-
CRNA - Atrium Health Cabarrus
2 weeks ago
Concord, NC, United States Advocate Aurora Health Full timeDepartment: 70302 CHS Anesthesia Svs Group CRNA - Surgical Anesthesia Services: Cabarrus Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Any shift NEW UPDATED SALARY SCALE WITH ENTRY LEVEL STARTING AT $204,443/yr. $100,000 SIGN ON BONUS If it's possible, you will find it at Atrium Health-the leading...
