Banner Health
Master Social Worker Medical Management
Banner Health, Phoenix, Arizona, United States, 85003
Primary City/State:
Phoenix, Arizona
Department Name:
Utilization Mgmt
Work Shift:
Day
Job Category:
General Operations
Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs.
The Integrated Care Team supports Utilization Management with challenging discharge planning for BPN members. Our departmental staff assist members to receive their care at the “right place” and the “right time”.
UM ICT Social Workers collaborate with our members and the entire healthcare team to aid in smooth transitions through the continuum of care. Our partnership with community and healthcare entities enable us to assist our members to reduce avoidable readmissions, strengthen discharge planning efficiencies and act as trusted stewards of our valuable healthcare resources.
Schedule Monday - Friday 8am - 4:30pm
Hybrid / Remote Must Reside in Arizona
POSITION SUMMARY This position develops, coordinates and provides social work services to patients and families who are faced with social, emotional and situational stressors precipitated by illness, injury, and/or disability. The goal is to aid in adaptation and empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge and continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS
Processes and facilitates the assessment with analysis of functional and psychological needs of the patient within the framework of his/her developmental stage, functional abilities, cultural milieu, and support network. Assessment of the relationship of the patient's medical needs to the patient's home situation, financial resources, and availability of community resources.
Formulates a plan of intervention acceptable to the patient, family, and health care team. Facilitates adjustments to the plan of care when necessary to promote enhanced outcomes and collaborates with all members of the healthcare team to develop, manage, and communicate patient needs and discharge plans.
Documents all interventions in the patient medical record both timely and accurately including all elements of the transitional care plan to include the discharge plan.
Provides advocacy, assistance, support, counseling and crisis intervention to patients and families. Facilitates hospital-sponsored support groups.
Functions in a liaison role between the hospital and community in making community resources available to the patient and family.
Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of contemporary behavioral health and system theories relevant to health care, end of life dynamics, and interventions; grief and bereavement counseling, substance abuse identification and interventions, support of victims of abuse, neglect, or violence. Provides professional education to staff and community.
Gathers / assesses information, applies counseling and developmental theories, utilizing diagnostic frameworks, and engages in collaborative treatment planning.
Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are facility based with no budgetary responsibility.
MINIMUM QUALIFICATIONS
Requires a Master's Degree in Social Work, Counseling or related field (requirement is based on business need and regulatory compliance, all positions may not have this requirement).
Requires a Licensed Master Social Worker (LMSW) (equivalent*), Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master's Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 3 years acute care hospital experience. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Social Worker MSW in the specialty area.
Must have knowledge of government/community resources such as Medicare, Medicaid, long‑term care or any other applicable resources/services.
Must demonstrate critical thinking skills, problem‑solving abilities, effective communication skills, human relations skills and time management skills. In acute care, must be able to work flexible hours and take rotating call after hours.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
EEO Statement EEO/Disabled/Veterans
Our organization supports a drug‑free work environment.
Privacy Policy Privacy Policy
#J-18808-Ljbffr
Phoenix, Arizona
Department Name:
Utilization Mgmt
Work Shift:
Day
Job Category:
General Operations
Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs.
The Integrated Care Team supports Utilization Management with challenging discharge planning for BPN members. Our departmental staff assist members to receive their care at the “right place” and the “right time”.
UM ICT Social Workers collaborate with our members and the entire healthcare team to aid in smooth transitions through the continuum of care. Our partnership with community and healthcare entities enable us to assist our members to reduce avoidable readmissions, strengthen discharge planning efficiencies and act as trusted stewards of our valuable healthcare resources.
Schedule Monday - Friday 8am - 4:30pm
Hybrid / Remote Must Reside in Arizona
POSITION SUMMARY This position develops, coordinates and provides social work services to patients and families who are faced with social, emotional and situational stressors precipitated by illness, injury, and/or disability. The goal is to aid in adaptation and empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge and continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS
Processes and facilitates the assessment with analysis of functional and psychological needs of the patient within the framework of his/her developmental stage, functional abilities, cultural milieu, and support network. Assessment of the relationship of the patient's medical needs to the patient's home situation, financial resources, and availability of community resources.
Formulates a plan of intervention acceptable to the patient, family, and health care team. Facilitates adjustments to the plan of care when necessary to promote enhanced outcomes and collaborates with all members of the healthcare team to develop, manage, and communicate patient needs and discharge plans.
Documents all interventions in the patient medical record both timely and accurately including all elements of the transitional care plan to include the discharge plan.
Provides advocacy, assistance, support, counseling and crisis intervention to patients and families. Facilitates hospital-sponsored support groups.
Functions in a liaison role between the hospital and community in making community resources available to the patient and family.
Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of contemporary behavioral health and system theories relevant to health care, end of life dynamics, and interventions; grief and bereavement counseling, substance abuse identification and interventions, support of victims of abuse, neglect, or violence. Provides professional education to staff and community.
Gathers / assesses information, applies counseling and developmental theories, utilizing diagnostic frameworks, and engages in collaborative treatment planning.
Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are facility based with no budgetary responsibility.
MINIMUM QUALIFICATIONS
Requires a Master's Degree in Social Work, Counseling or related field (requirement is based on business need and regulatory compliance, all positions may not have this requirement).
Requires a Licensed Master Social Worker (LMSW) (equivalent*), Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master's Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 3 years acute care hospital experience. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Social Worker MSW in the specialty area.
Must have knowledge of government/community resources such as Medicare, Medicaid, long‑term care or any other applicable resources/services.
Must demonstrate critical thinking skills, problem‑solving abilities, effective communication skills, human relations skills and time management skills. In acute care, must be able to work flexible hours and take rotating call after hours.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.
EEO Statement EEO/Disabled/Veterans
Our organization supports a drug‑free work environment.
Privacy Policy Privacy Policy
#J-18808-Ljbffr