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City/State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Norfolk General Hospital in Norfolk, VA is hiring a Team Coordinator MSW to join the Inpatient Case Management Team.

This position is full-time day shift 40 hours per week.

Requirements:

BSN-Nursing (or)

Master's Degree in Counseling, Psychology or Social Work required

Licensed LCSW, LMFT, LPC or RN

3 Years Clinical experience

3 Years Related Medical Social Work

Previous Supervisory experience

The Team Coordinator MSW assumes responsibility, accountability and leadership for the daily operations including coordination of work, quality, and service. First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs identification and educational offerings. Provides educational services to the Utilization Management staff. Participates in the work activities of assigned teams. Responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment.

Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B with matching funds, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

Keywords: Case Management, Team Coordinator, BSN, MSW, Social Work, Medical Social Worker, Hospital Inpatient Case Management

Job Summary

Assumes responsibility, accountability and leadership for the daily operations including coordination
of work, quality, and service. First line supervisor in the Utilization Management Department. Facilitates the work of assigned team members. Provides a leadership role in ongoing utilization review competency assessment, needs identification and educational offerings. Provides educational services to the Utilization Management staff. Participates in the work activities of assigned teams. Responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment.

OTHER - BSN or Master's in Social Work, Psychology, or Counseling required. RN license required for candidates with BSN. LCSW, LPC or LMFT required for masters prepared candidates. Three years' experience working in either inpatient or outpatient services dealing with authorizations and medical necessity criteria required. Three years' experience working with vulnerable populations required.

Qualifications:

MLD - Master's Level Degree: Counseling, MLD - Master's Level Degree: Psychology, MLD - Master's Level Degree: Social Work, N-4YR - RN-Bachelor's Level Degree

Licensed Clinical Social Worker (LCSW) - State license - North Carolina Social Work Certification and Licensure Board (NCSWCLB), Licensed Clinical Social Worker (LCSW) - State license - Other/National, Licensed Clinical Social Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP), Licensed Marriage and Family Therapist (LMFT) - State license - North Carolina, Licensed Marriage and Family Therapist (LMFT) - State license - Other/National, Licensed Marriage and Family Therapist (LMFT) - State license - Virginia Department of Health Professionals (VADHP), Licensed Professional Counselor (LPC) - State license - North Carolina, Licensed Professional Counselor (LPC) - State license - Other/National, Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP), Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP), Registered Nurse License (RN) - Nursing License - Compact/Multi-State License

Clinical, Related experience, Supervisory

Skills

Active Learning, Active Listening, Communication, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Mathematics, Microsoft Excel, Microsoft Word, Monitoring, Reading Comprehension, Service Orientation, Social Perceptiveness, Speaking, Technology/Computer, Time Management, Troubleshooting, Writing

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.