Licensed Master Social Worker

About This Role

This role involves planning, developing, assessing, and evaluating care for Kaiser Permanente members as a Social Worker Case Manager. The position requires coordinating care with physicians, ensuring compliance with federal and state regulations, and facilitating continuity of care through various stages, including discharge planning and external referrals.

Responsibilities

• Plan, develop, assess, and evaluate care provided to members for Kaiser Permanente.
• Evaluate and develop baseline medical and psychosocial evaluations and individualized patient care/treatment plans in conjunction with physicians.
• Recommend alternative levels of care and ensure compliance with federal, state, and local requirements.
• Develop and maintain case management policies and procedures.
• Coordinate care/services with utilization and quality reviewers and monitor level and quality of care.
• Coordinate an interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, and discharge planning.
• Obtain all authorizations/approvals/transfers as needed for outside services for patients/families.
• Consult with internal and external physicians, healthcare providers, discharge planning, and outside agencies regarding continued care/treatment or referrals.
• Arrange and monitor follow-up appointments and encourage adherence to prescribed care.
• Make referrals to appropriate community services and outside providers.