MyMichigan Health·Saginaw, Michigan
The BSW Case Manager coordinates patient care during hospitalization and post-discharge to prevent readmissions and ensure appropriate levels of care. They perform psychosocial-spiritual assessments and collaborate with healthcare teams to facilitate safe transitions and resource allocation.
The Bachelor of Social Work (BSW) Case Manager plays a pivotal role in maintaining the quality-of-care patients receive during medical center hospitalization and post discharge while ensuring the organization is fully reimbursed.
The BSWCase Manager (CM) must have a high level of expertise and skill to create highly effective strategies for short-term and long-term goals in order to prevent readmissions and address unpredictable situations.
BSW CM must be proficient in planning, executing and monitoring effectiveness of the care provided to ensure timely transition through the continuum of care.
Educating and consulting with the physician and the health care team to ensure timely and appropriate level of care is achieved.
This requires effective skills in conflict resolution, decision making and team building.
The BSW Case Manager practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts.
The BSW Case Manager provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements and represents the organization professionally.
The ability to analyze, evaluate and distribute resources and educational information to ensure understanding of services to all educational level is key to the role.
The social worker is responsible for assessing the patient’s psychosocial?spiritual needs, education and discharge planning needs.
Identify the need for and conduct family meetings, with or without the physician, that result in understanding, comfort, decision-making, and other important outcomes, such as discharge.
Integrate relevant theories of family dynamics, crisis intervention, strengths based, solution focused, and meaning of illness into everyday casework.
Summarize a patient and family situation concisely, with helpful guidance to non-social work staff members about recommendations for actions to be taken and barriers to discharge.
Facilitates discharge planning for patients i.e. extended care placements, other facility transfers, and home care arrangements in collaboration with the health care team.
Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and avoidable days are captured and documented. Is an active participant in the daily care coordination meetings.
Accepts accountability for the clinical outcomes that the Discharge Planning role can facilitate. Maintains timely, clear and concise documentation in all required systems.
Provides pertinent clinical data to designated outside agencies to assure compliance with their requirements. Assures compliance with regulatory requirements and acts a resource/liaison to physicians and medical staff regarding all aspects of Case Management activities.
During Care Coordination Rounds, BSW CM communicates with the health care team a patient-centered plan that is needs based, appropriate to patient resources, timely and addresses the risk of readmission.
Builds professional relationships with patient, families, facilities and resources to address conflict resolution with positive outcomes.
Completes all documentation and data entry requirements. Identifies high risk population and addresses opportunities for intervention.
Willingly and consistently offer to help peers as needed. Communicates teamwork, caring and compassion. Provide excellent customer service with internal and external customers.
Assume responsibility for professional development and education requirements for maintenance of professional licensure.
All other duties as assigned.
Certifications and Licensures
BSW - Bachelors of Social Work LLBSW or LBSW required LLBSW or LBSW required at time of hire. Limited License BSW employees must be actively working to obtain full licensure either as a LBSW or working towards their LMSW. These employees must pass licensing exam and complete 4,000 hours of supervised post-d
Required Education: Bachelor's degree is required
Training and experience, and/or demonstrated competency in casework principles, including diagnosis, assessment, crisis intervention, treatment and transition planning; techniques in individual, family and group therapy; awareness of community resources, public assistance and entitlement programs, ensuring transition to appropriate levels of care; and issues relating to age and stage of development, special needs and cultural patterns of the patient populations being served.
Knowledge of medical social work practices, processes and procedures as normally acquired through three years’ experience working in a medical center (preferred), social agency or community organization dealing with physical and/or mental health and/or welfare.
Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.
Adherence to the National Association of Social Workers’ Code of Ethics.
MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
Membership in at least one professional organization (i.e. NASW, Society for Social Work Leadership in Health Care (SSWLHC)MI Chapter, national SSWLHC, etc.) preferred.
Market context
Michigan healthcare and hospice employers commonly look for BSW-prepared social workers who can support patients, families, and care teams while meeting licensure requirements. These roles are competitive because employers often want both a CSWE-accredited BSW and direct healthcare or hospice experience, along with comfort navigating sensitive care situations. Review the AI-summarized requirements and benefits here to quickly compare fit, then confirm your state licensure status and highlight any hospice or healthcare experience in your application.