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Utilization Review Social Work Care Manager Lcsw - Inpatient Psychiatry
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- Under the Direction of the Inpatient Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review activities on a 17 bed Adult unit.
- The Care Manager will liaison with insurance companies and other referral sources; obtain level-of-care authorizations from managed care companies; secure reauthorization for care; and follow up on insurance denials.
- The IP Patient Care Team is comprised of MD, ARPN, MSN, RN, Social Worker, Recreational Therapist and Patient Care Technicians.
- Provides education to patient/family with respect to meeting established goals including but not limited to disease prevention, impact of illness and disease progression, advocacy for benefits, health maintenance, and adherence to treatment regimens.
- Provides direct patient care that may include: individual, group, & family therapy; case management, interdisciplinary collaboration for care transition needs, crisis intervention/safety planning, counseling, and emotional support to patients and families coping with illness, trauma, or end-of-life care, referral and discharge planning.
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