Clinical Social Worker Case Manager (LCSW)

Quick Facts

• Role: Case Manager / Social Worker (LCSW)
• Focus: Inpatient case management, psychosocial care, and discharge planning
• Team: Palliative Medicine and Supportive Care interdisciplinary team

Description

Develop individualized treatment plans with patients, families, and the healthcare team, and coordinate interdisciplinary care conferences for longer-stay patients. Manage discharge services and transitions of care while assessing psychosocial needs, providing counseling and crisis intervention, and ensuring compliance with managed care and length-of-stay targets. Provide social work leadership and care coordination for inpatient palliative and supportive care patients.

Responsibilities

• Create individualized treatment plans and coordinate care conferences
• Document unusual occurrences and patient relations issues; make referrals to risk management, infection control, and quality departments
• Assess patient and family needs for discharge services and coordinate transfers to appropriate levels of care
• Maintain discharge planning documentation and interdisciplinary plan of care progress notes
• Perform medical record reviews to assess admission appropriateness and continued hospital stay
• Monitor avoidable days and recommend changes to services or processes
• Ensure managed care contract compliance and length-of-stay targets while maintaining quality of care
• Identify cases requiring social work services and validate psychosocial needs impacting compliance with treatment
• Provide emotional support, counseling, and crisis intervention for patients and families
• Advocate for patients’ rights to access resources
• Report abuse, neglect, domestic violence, and other required cases to appropriate authorities
• Assist with transfers, including to substance abuse and psychiatric facilities
• Facilitate organ and tissue donation discussions and referrals
• Liaise with the ethics committee to support complex ethical decision-making
• Assess at-risk patients for goals of care conversations and initiate conversations
• Communicate the plan of care with attending physicians and interdisciplinary teams
• Educate patients and families on advance directives; provide patient, staff, and community education on health and psychosocial topics
• Participate in Palliative Medicine and Supportive Care (PMSC) care conferences, goals of care conversations, and family meetings; perform inpatient PMSC discharge planning
• Serve as the primary inpatient PMSC social work source for care coordination, emotional support, community resource allocation, and communication between inpatient and outpatient PMSC social work teams

Requirements

• Master’s degree in social work
• Licensed clinical social worker (LCSW) in the state of Illinois
• 3–5 years of work experience in a hospital setting or related setting
• Critical thinking skills and decisive judgment
• Ability to work with minimal supervision
• Ability to work in a stressful environment and take appropriate action

Benefits

Comprehensive benefits support employees’ physical, emotional, and financial well-being and provide protection for unexpected life events. Benefits eligibility depends on employment classification.