Overview
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference through programs like our Ambassador Movement and comprehensive training and development initiatives. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members to support you and your family. Visit honorhealth.com/benefits to learn more. Join us and help us go beyond expectations to transform healthcare.
HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving five million people in the greater Phoenix area. Our network includes six hospitals, a broad medical group with primary, specialty, and urgent care, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, and community services. With nearly 17,000 team members, 3,700 providers, and close to 2,000 volunteers, we strive to improve community health and well-being.
Responsibilities
Job Summary
Responsible for managing an assigned caseload, working collaboratively with patients, caregivers, healthcare providers, and external partners to coordinate care and ensure smooth transitions across the healthcare continuum, aiming for positive patient outcomes, high-quality care, and cost efficiency.
Essential Functions
- Collaborate with patients and caregivers early in inpatient or outpatient episodes to prepare for discharge, including supportive care, end-of-life decisions, community resources, goal setting, and long-term planning. Conduct assessments and execute safe post-acute interventions such as home visits, behavioral health coordination, guardianship, and other services. Assess readmission risks and barriers to outpatient care, and assist with advance directives.
- Facilitate smooth transitions from acute care to appropriate levels of care by communicating clinical information and care plans among healthcare providers and with patients and families. Ensure understanding of financial obligations and discharge plans. Communicate with payers for service authorization.
- Promote collaboration among healthcare team members, patients, families, and others to ensure integrated, appropriate, and beneficial care services from admission through discharge. Maintain caseloads and contribute to case management metrics.
- Act as a patient advocate, facilitating communication among all parties and monitoring care quality using standards and evidence-based practices. Utilize knowledge of laws, regulations, insurance, and practice guidelines to advocate effectively.
- Perform other duties as assigned.
Education
- Master's Degree in Social Work – Required
Experience
- Minimum of 1 year as a Licensed Social Worker or successful completion of a health-related Master's level field placement – Required
- Preferred 2 years in case management
- Preferred 3 years as a Licensed Social Worker
- Experience managing behavioral health patients – Preferred
Licenses and Certifications
- Case Management Certification – Preferred
- Current licensure as an LMSW, LSW, or LCSW is required