Travel Social Work - LMSW - Licensed Master Social Worker
Detorit, MI
LanceSoft
5x8 hrs, Days

Job Title: Integrated Case Manager – Population Health

Location: Detroit, MI 48202
Department: Administration and Support – HFH Clinical Allied
Hours: 40 hours/week, 8 hours/day
 

Key Responsibilities:

• Conduct comprehensive assessments of patients and families, including medical, psychological, social, and functional needs.
• Develop personalized care plans to optimize patient outcomes and quality of care.
• Advocate for patients and families, providing education, guidance, and access to resources and services.
• Utilize professional judgment, critical thinking, motivational interviewing, and self-management techniques to support patient goals.
• Provide counseling and guidance on treatment decisions, including end-of-life care and Advanced Care Planning.
• Coordinate smooth transitions between care settings to ensure continuity and safety.
• Collaborate with interdisciplinary teams to co-manage patients with complex needs; facilitate care conferences as necessary.
• Evaluate patient response to care plans and adjust interventions as needed.
• Participate in process improvement initiatives to reduce risk and improve outcomes.
• Address sensitive cases, including child abuse, domestic violence, elder abuse, institutional abuse, and sexual assault.

Required Qualifications:

• Education: BSN (Nursing) OR MSW (Social Work)
• Licensure: RN (Registered Nurse) OR LMSW (Licensed Master Social Worker) with a valid, unrestricted Michigan license.
• Experience:
  • Minimum 5 years of case management experience.
  • At least 2 years of recent acute inpatient case management experience (telephonic or utilization review does not qualify).
• Strong verbal, written, and interpersonal communication skills.
• Knowledge of discharge planning, home health care, community health, Medicare/Medicaid regulations, case management principles, and social determinants of health.
• Proficient in computer systems and electronic health records.
• Excellent organizational, analytical, and problem-solving skills.
• Compassionate, with a strong patient advocacy mindset.

Preferred Skills:

• Experience facilitating community resources for diverse populations.
• Knowledge of preventive service guidelines and clinical practice guidelines.