Job Description

Position: Social Worker - LCSW , Hospital

Start Date: 4/21/2025

Duration: 13 weeks

Location: Pittsfield, MA, 01201

Shift Type/Shift Times/Hours/Day: Days, 8:00 AM - 4:30 PM, 8

Shift Notes: 8hr Days 40hr guarantee. This need will float between facilities

Weekend Requirements: None

On-Call Requirements: None

COVID Vaccination: COVID VACCINATION (dose date on or after 10/3/23) NOW REQUIRED FOR THIS HEALTH SYSTEM. Exemption link available in compliance

Travel Policy: n/a

** AT LEAST TWO SPECIFIC INTERVIEW DATES/TIMES OF AVAILABILITY FOR INTERVIEW MUST BE ADDED TO PROFILE - PROFILES WILL NOT BE PRESENTED WITHOUT THIS INFORMATION. "ANYTIME" WILL NOT BE ACCEPTED.

** Requested time off during the course of this assignment MUST be noted and verified at upload. RTO REQUESTS AFTER UPLOAD WILL NOT BE APPROVED!! NO MORE THAN 5 DAYS OF RTO WILL BE ACCEPTED (less is better). RTO during this block will not be approved.

This role is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients within Berkshire Medical Center, across the continuum. The case manager, utilizing a multidisciplinary team approach, negotiates, procures, coordinates and monitors services and resources needed by patients. The case manager is responsible for reviewing the patient at admission, and in some instances before admission, and concurrently throughout the hospital stay for the appropriate level of care and utilization of resources.

Additional Requirements:

• Current knowledge of CMS (levels of care determinations), appeal rights & DPH regulations required.
• Current knowledge of Kepro QIO (appeals) required.
• Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH, and HealthGrades preferred.
• Organizational skills.
• Proven ability to analyze and present data. Computer literacy.
• Ability to plan, implement, and evaluate change.
• Data management skills preferred.
• Proven excellent interpersonal and communication skills.
• Ability to maintain confidentiality.
• Proven collaboration and negotiation skills with providers, patients, families, insurance organizations, and government agencies.
• Proven ability to work independently.
• Proven excellent organizational skills
• Demonstrated ability to establish and maintain relationships with physicians.
• Knowledge of local community resources required.
• Knowledge of Medicare, Medicaid, third-party commercial payer, and reimbursement required.
• Computer experience required with proven ability to manage multiple open applications.
• Skills in data comprehension, research, analysis, interpretation, and judgment necessary to prepare a comprehensive summary report for files, management, legal, and/or regulatory agencies upon request.

Submission Requirements

• Master's in Social Work Required
• LCSW - Licensed Clinical Social Worker Required
• LICSW - Strongly Preferred
• 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.
• Ability to perform a comprehensive admission and discharge risk assessment related to quality, financial, payer benefit allowances and limitations, risk management, and patient satisfaction.
• Experience specializing in utilization management (levels of care knowledge and demonstrable competence with evidence-based criteria tools), discharge planning to entities throughout a continuum of care
• Previous care management or third-party insurance review preferred
• Current knowledge of CMS (levels of care determinations), appeal rights & DPH regulations required
• Current knowledge of Kepro QIO (appeals) required
• Knowledge of regulatory and accreditation organizations such as the Joint Commission, DPH, and HealthGrades is preferred

Profile Requirements:

• Work History
• Skills Checklist (pertinent to position), current to 1 year
• 1 Supervisory Signed Reference (from within the past two years of employment)
• License/Certifications - Must be uploaded with profile

Certification Requirements

• BLS (AHA)

State License Requirements

• Massachusetts

t-57676

Mobile Health Team, Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally.

Our mission is clear, to bridge the staffing gap in the healthcare industry by creating and maintaining long-term working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our client's needs.

Job Tags

Permanent employment, Temporary work, Local area, Shift work, Weekend work, Day shift,

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