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Care Management

Overview

Care Management social workers play a vital role at Overlake and can be found in the Emergency Department, on the medical floors and in the Psychiatric Services Unit. Social workers provide support, crisis intervention, psychiatric assessments, community follow-up appointments, resources and assistance with transition to the next level of care. Social workers manage a variety of issues: depression, anxiety, grief and loss, geriatric care, sexual assault, domestic violence, child and elder abuse, substance abuse, eating disorders, homelessness, transportation needs and behavioral/family/social problems. Social workers work closely with medical staff, treatment teams and community providers to assist in caring for patients and their families in a supportive, focused, comprehensive and timely manner.

Staff Details

Clinical Resource Coordinators (CRCs) provide the coordination of case management to improve and maintain quality patient care, act as the liaison between the hospital and our external payers, and monitor and advise on the appropriate utilization of resources. CRCs perform admission and continued stay reviews, review documentation, monitor for compliance of Overlake’s Core Measures, and act as consultants and educators regarding Medicare/Medicaid/payer guidelines.

The Care Management Department provides the opportunity to work collaboratively with our medical teams throughout the hospital and to make a difference in our patients and family care during their hospital stay as well as with arrangements after discharge. Staff is encouraged to seek outside workshops and trainings that support their organizational interests applicable to their daily work.

Career Paths

Many of our bachelor-prepared social workers go on to receive their master’s degree, which provides them the opportunity to work in the Emergency Department or Psychaitric Services Unit.

Our Utilization Review nurses may go on to receive special certifications in quality and case management.

Work Hours/Shifts

Emergency Department social workers are considered an 880 with four shifts including: 0630- 1500, 1330-2200, 1430-2300 and 2200-0630.

Medical social workers are considered 040 with varied hours during the day, providing coverage 7 days a week.

CRCs are considered exempt with varied hours during the day and provide coverage 5 days a week.

Number of Employees & FTEs

There are currently 25 FTEs within our department and a total of 34 employees. Of the 34 employees, 11 employees work in the Emergency Department, eight employees work in Utilization Review, 13 provide social work services to the medical floors and behavioral health unit, one administrative assistant and one department manager.