Case Management/Social Work Manager Full Time Days
Hi-Desert Medical Center
Location: Joshua Tree, California
Internal Number: 2105047479
Welcome to Hi-Desert Medical Center, where youâ��ll benefit from:
A 59-bed acute primary care facility offering you and your family first-rate health care close to home
A wide range of quality inpatient and outpatient diagnostic, treatment and rehabilitation services, home health and hospice services, and a variety of community outreach programs
A dedicated team of quality, caring, health care professionals
The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ��s resources and right to self-determination.
The individual in this position has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
This position integrates national standards for case management scope of services including:(1) Utilization Management supporting medical necessity and denial prevention; (2)Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; (3)Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at the appropriate level of care; (4) Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; (5) Education provided to physicians, patients, families and caregivers; (6)Provides educational programs for Case Management Department on community resources use in discharge planning; (7) Provides reports to Director of Case Management (DCM) and hospital leadership as requested; and, (8) Provides management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments
The individualâ��s responsibilities include the following activities:
Assist the DCM in the daily operations of the departmentb) transition planning assessment and reassessment
Implementation or oversight of implementation of the transition plan
Leading and facilitating multi-disciplinary patient care conferences
Managing concurrent disputes
Making appropriate referrals to other departments
Identification and reporting over and underutilization
Communicating with patients and families about the plan of care
Collaborating with physicians, office staff and ancillary departments
Leading and facilitating Complex Case Review
Assuring patient education is completed to support post-acute needs
Timely complete and concise documentation in Tenet Case Management documentation system, n ) maintenance of accurate patient demographic and insurance information
Identification and documentation of potentially avoidable days
And other duties as assigned.
Master of Social Work
Require: Two (2) years acute hospital experience preferred.
Required: Master of Social Work. Preferred: Licensed Clinical Social Worker
Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Job: Case Management/Home Health
Primary Location: Joshua Tree, California
Facility: Hi-Desert Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.