Recognized for Excellence. Chosen for Caring.
Human Resources: 700 Lawn Avenue, Sellersville, PA 18960  |  215-453-4874
Social Worker, MSW - Department of Emergency Medicine
Case Management
Part Time, Days, Non-Benefit Eligible - every other Saturday & Sunday, 8-hour shifts
Sellersville, PA 18960
The role of the Department of Emergency Medicine (DEM) Social Worker, MSW, is to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum. The DEM Social Worker will assist in identifying patients appropriate for admission, observation or other patient care status. The DEM Social Worker will function as a liaison between attending physicians, physician advisors, local CCRCs, SNFs, PCFs, patients, families and community. The role includes the management of social issues that impact patient classification, discharge from the DEM and ongoing medical management of patient care needs. The DEM Social Worker will assist in identifying physician and staff documentation opportunities to support quality and pay for performance indicators. The goal is to collaborate with patients, families and healthcare providers to promote health and manage illness in a cost effective and quality driven manner.

Essential Functions:
  • Performs 100% review of anticipated admissions utilizing InterQual criteria to assess for appropriate level of care assignment.
  • Certifies Medicare admissions and utilizes Code 44 when appropriate.
  • Coordinates and manages inpatient Medicare Discharge expedited appeal requests from the QIO and patients.
  • Serves as a resource to patients, physicians, administration and hospital employees regarding issues related to patient classification and reimbursement.
  • Refers inappropriate Observation or anticipated Admission cases to the Physician Advisor.
  • Decrease non-emergency utilization and over utilization by patients in the DEM.
  • Provide real time interventions to prevent delays and ensure compliance and revenue integrity with health care regulations.
  • Identifies and collects data regarding resource utilization for DEM physicians, management and administration for evaluation and process improvement.
  • Functions as a resource to the DEM via communication of new information regarding coordination of care, Case Management, managed care and the continuum of care.
  • Identify tests, procedures and interventions earlier to advance the plan of care.
  • Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes.

Schedule: Every other Saturday and Sunday.

Qualifications

EDUCATION AND EXPERIENCE:
  • Bachelor's degree in Social Work required.
  • Master's degree in Social Work and 3 years of experience highly preferred.

LICENSES AND CERTIFICATIONS:
  • Social Work license in PA, preferred
BENEFITS:
We offer a competitive salary and comprehensive benefits to part-time and full-time employees, including:
  • Medical, dental and vision insurance available first of the month after start date
  • Wellness and gym discounts and free cardiac rehab gym
  • 403b
  • On-site discounted child care center
  • Paid time off
  • Sick time for full-time employees
  • Tuition assistance
  • Free life insurance for full-time employees
  • Long-term disability for full-time employees
  • Short-term disability
  • Employee referral bonus
  • Identity theft insurance
  • Pet insurance
  • Flexible spending accounts
  • Employee discount program
  • Employee assistance program
  • Free parking
Grand View Health is an equal opportunity employer.
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