The Social Worker Case Manager l evaluates the ability of patients to progress throughout the continuum of care. Works collaboratively in communication with physicians, nursing and other members of the multidisciplinary care team to effect timely and appropriate patient management. Showcases a working knowledge in utilization management, managed care and payer issues. Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting, with an understanding of pre/post-acute resources. Provides coordination of services and acts as a key Liaison between patients, families and the interdisciplinary healthcare members.

**HYBRID ROLE - Monday - Friday 8am-4:30pm*

The ElderLink Money Management Coordinator advocates in the best interest of the client to connect them to appropriate resources. Communicates with clients, and the supportive figures in their lives, to discuss options, and set appropriate goals. Participates in evaluation at the program level to improve program quality and provides timely and accurate assessments of clients' financial status. Identifies needs, strengths, limitations, and develops a plan that identifies priorities, desired outcomes/goals, and strategies/resources needed to achieve those outcomes.

As a member of Inova's ElderLink team, you will evaluate biopsychosocial impact and develop plans of care in collaboration with the client to promote their ability to safely age in place in their residence. To help achieve our mission, you will evaluate the ability of patients to progress toward their care goals as their needs evolve over time. Working collaboratively in communication with the ElderLink case management team to effect timely and appropriate care management is of vital importance. Showcasing a working knowledge/experience with the older adult (60+) population, caregivers of older adults, and/or experience presenting education material to large groups is desirable. Your ability to provide coordination of services and act as a key Liaison between patients, families and team members is expected.

Duties and Responsibilities - SWCM I (Money Management Coordinator)

* Participates in the assessment of patients' biopsychosocial needs through review of patient information, personal contact with patients/families and interdisciplinary care team members. Communicates routinely with patients, families, interdisciplinary care team members and other appropriate parties with regard to the status of patients' care plans. progress toward treatment goals, identification of concerns and/or problems, problem solving and assisting with conflict resolution when necessary.

* Acts as an advocate for patients to resolve barriers to care progression.

* Demonstrates an ability to be fiscally responsible with making recommendations that are cost effective and manageable for the client while maintaining quality.

* Communicates effectively with Social Workers involved in a client cases.

* Demonstrates excellent communication of physical, cognitive, social and financial needs with other professional supports involved.

* Communicates financial complexities and potential risk factors with the client to create a plan to help the client remain safely independent.

* Seeks ways to expand knowledge of financial needs and concepts that impact older adult clients.

* Maintains and stays up to date on knowledge of federal, state and local assistance opportunities that impact client needs.

* Provides feedback on ElderLink programs and makes suggestions for process improvement.

* Recognizes potential complications and barriers while demonstrating the ability to effectively adjust the plan when appropriate.

* Performs other duties as assigned.

REQUIREMENTS:

• Education: MSW
• Experience: 1 year of clinical case management or clinical experience
• Certification: BLS through the American Heart Association