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Certification Details - LCSW - Licensed Clinical Social Worker Required
Job Details - Responsible for managing healthcare needs and achieving quality and cost outcomes for patients within Berkshire Medical Center.
- Utilizes a multidisciplinary team approach to negotiate, procure, coordinate, and monitor services and resources needed by patients.
- Reviews patients at admission and throughout the hospital stay for appropriate level of care and resource utilization.
Job Requirements - Masters in Social Work Required
- LCSW - Licensed Clinical Social Worker Required
- 3+ years clinical experience in acute care in areas such as internal medicine, surgery, orthopedics, mother/child, cardiology, oncology, psychiatry.
- 3+ years clinical experience in Rehab Setting, Home Health and Long-Term Care would be considered.
- Current knowledge of CMS (levels of care determinations), appeal rights & DPH regulations required.
- Current knowledge of Kepro QIO (appeals) required.
Schedule Information - Requested time off during the course of this assignment MUST be noted and verified at upload.
- RTO REQUESTS AFTER UPLOAD WILL NOT BE APPROVED.
- At least two specific interview dates/times of availability for interview must be added to profile.
Unit Specific Information - Experience specializing in utilization management and discharge planning to entities throughout a continuum of care preferred.
Additional Details - Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH and HealthGrades preferred.
- Proven ability to analyze and present data.
- Computer literacy and ability to manage multiple open applications required.
- Proven excellent interpersonal and communication skills.
- Ability to maintain confidentiality and work independently.
Date Posted: 01 April 2025
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