Crop Claim Operations Associate

Scheduled Weekly Hours: 0

• The Social Worker is responsible for evaluating the mental, emotional and physical status of patients, while managing care coordination needs in developing and executing the discharge plan. The Social Worker is responsible for creating a discharge plan based on an initial assessment, with ongoing reassessments with modifications as required. Communicating with doctors, nurses, home health companies and other healthcare personnel and agencies

Required Skills /Qualifications/Training/Experience

• Strong understanding of managed care
• Commitment to ensuring cost effective management of resources while achieving positive clinical outcomes
• Excellent analytical and critical thinking skills necessary to evaluate patient's discharge needs, and develop plans accordingly
• Self-starter with excellent organizational skills and demonstrated ability to problem solve and prioritize
• Excellent communication skills and positive interpersonal dynamic in working with a variety of stakeholders across the care continuum
• Sound clinical judgment and approach to coordinating care, with understanding of various medical conditions and terminology
• Ability to function independently within scope of position and licensure, as well as department policies and established goals
• Ability to successfully discuss sensitive clinical and financial issues with patients and families while providing guidance in placement and referral issues
• Demonstrated initiative in proactively identifying legal or risk management issues presenting barriers to successful transitions of care, and developing plan to address
• Understanding of federal, state and local healthcare standards and regulations
• Proficiency in computer applications, such as Microsoft Office

Preferred Skills/Qualifications/Training/Experience

• Experience with Cerner preferred
• 3-5 years of experience in an acute care hospital setting preferred
• Certification in Case Management preferred

Educational Requirements

• Bachelor's degree in Social Work required, Master's Degree preferred

License/Certification

• Current Massachusetts license as LSW, LCSW, preferably LICSW or LICSW eligible.

Additional information

Age Specific Criteria: Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.

• Salary Range: $65,729.15-$101,313.56
• Salary Range Details

Pay and benefits

The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value Sturdy Health's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

• Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.