At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Are you passionate about improving the patient's experience through high quality, convenient, and connected care delivery?  **_Welcome to Rappahannock General Hospital, the way it should be._** At Bon Secours , we understand the many complexities of life and healthcare, which is why our team strives to create a better, easier experience for our patients who are transitioning out of inpatient hospital care. We are seeking highly motivated and skilled professionals who share a passion for excellence in case management. WHY you should join our Team: **Teamwork:** Rappahannock Case Managers believe in working together for the benefit of their patients. **Patient Centered Care** : Each case manager strives to honor the patient centered care provided during the patient's hospital stay by focusing on successful transitions from the hospital. **Leadership** : Supportive leadership at the executive level fosters an environment of growth and mentorship for new and upcoming leaders. **Job Summary:** The Social Worker Case Manager is responsible for providing appropriate interventions and discharge planning services to patients and families and facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community, and governmental resources. They also provide clinical supervision to peers, Social Workers, and students.   **Essential Functions: ** + Identifies and prioritizes patients in need of social  services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and financial factors.  Plans with the patient, caregivers and members of the healthcare team to maximize health care responses, quality and cost-effective outcomes.   Monitors and revises the plan as indicated when patient condition changes.  + Completes all necessary documentation.  Maintains, clear, concise, and timely documentation in the patient record to reflect the needs of the patients.    + Documentation will reflect plan of care to address post hospital care needs and resources and evidence of patient, family, or caregiver involvement in planning.  Ensuring patient’s and caregiver’s treatment goals and preferences are incorporated into the transition of care planning and communicated to the multidisciplinary team.  + Follow standardized practices and process related to Advance Care Planning, Length of Stay management and readmission prevention.  + Supports denial prevention related to medical necessity through addressing / removing barriers to progression of care and participating in Interdisciplinary Discharge Rounds.  + Supports and promotes assertive, proactive care for patients, assisting in removing barriers related to achieving timely testing and treatment.  Ensures resources are utilized appropriately and offering alternatives to acute care to the care team.  **Education:** + Bachelor of Social Work (required)  + Master’s degree in social work or healthcare related field (preferred) **Licensure/Certification:** + BLS Basic Life Support – American Heart Association (required)  + Licensed as a Social Worker in state of practice (required, preferred in VA)  + Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)  **Experience:** + 1 year of experience in clinical setting (required)  + 3 year of experience in an acute care clinical setting (preferred)  + Ambulatory or post-acute, care coordination experience (preferred)  **Training** **:** None **Skills and Abilities:** Hard/Tech/Clinical Skills _:_   + Social Work  + Care Management  + Ethics  + End of Life Ethics  + Patient Advocacy  + Clinical Supervision  + Microsoft office  + Ability to prioritize many simultaneous demands and tolerate frequent interruptions.     Soft/Interpersonal Skills:  + Attention to detail  + Critical thinking  + Communication with family members  + Conflict resolution  + Active listening  + Relationship building  + Effective problem solving  + Teamwork  + Open to change  + Collaboration  + Communication  + Displays empathy  + Negotiation skills  + Time management  + Prioritization  As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com