Social Services/LMSW (Licensed Masters of Social Worker)

• Case management and utilization review including admission criteria, discharge planning, appeals/denials, concurrent and retrospective reviews.
• Conduct biopsychosocial assessments and develop care coordination plans.
• Utilize InterQual and Milliman guidelines to determine medical necessity.
• Coordinate services across home care, rehab, and long-term care referrals.
• Documentation of care delivery and compliance with regulatory standards.
• Provide care for patients across multiple units including Med Surg (required), Emergency Department, ICU, NICU, and L&D/Mother-Baby (preferred).
• Possible floating to other Swedish hospitals.
• Support patient populations including infants, adults, and geriatrics with daily census of 18-20 patients.

• Active Washington State LMSW license or associate clinical license/LCISW.
• Minimum 2 years of experience in case management and discharge planning.
• Knowledge of CMS, CPT, Dept of Health, DRG, HEDIS, HIPAA, ICD 10, NCQA, OSHA, Joint Commission standards.
• Proficient in Epic charting system.
• BCLS certification.
• Experience with Medicaid, Medicare, and community-based programs.
• Ability to float within hospital system.
• Strong knowledge of medical social work in acute care settings, especially Med Surg.

• Utilization management experience.
• Experience with trauma, emergency department, ICU, NICU, and L&D/mother-baby units.
• Familiarity with APS, cultural competency, high-risk interventions, NASW code of ethics.
• Additional certifications and training related to social work preferred but not mandatory.

• Local candidates at travel rates are considered.
• Must provide proof of current WA license and local residence (within 50 miles preferred).

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