Social Work Care Mgr Lsw 1
1 month ago
**Location**:Oak Park, IL
**Hospital**:RUSH Oak Park Hospital
**Department**: Case Management
**Work Type**: Full Time (Total FTE between 0. 9 and 1. 0)
**Shift: Shift 1**
**Work Schedule**:12 Hr
Summary:
The Social Worker Care Manager I works with the Director of Care Transitions, Care Management Social Work Manager, Social Work Care Manager II, Clinical Nurse Leaders, CRCs physician practices, persons/families, as well as inpatient and outpatient teams to facilitate effective care management, coordination of services at the appropriate level of care, and implement sustainable transition plans. The SW CM I contribute to the team’s effectiveness by coordinating person centric transitional care plans, resolving barriers, and addressing in-depth psychosocial needs. They manage a complex caseload, actively support performance improvement initiatives, and function to provide effective communication between persons, physician practices, the hospital, and the community. The SW CM I effectively responds to Abuse & Neglect calls.
**Responsibilities**:
Job Responsibilities:
- Manages complex patient caseload, supports Care Management Services and demonstrates the ability to:
oAssess each person’s psychosocial and health care needs, monitor effectiveness, and progress plans to achieve desired outcomes. Facilitate assessment of person’s psychosocial, financial, cultural, and family situation with coordination of social services to address person/family needs. Serve as a change agent to address the needs of patients with complex psychosocial issues.
oPerform concurrent review to resolve potential delays, address readmission risks and support reimbursement for services at the appropriate level of care. Work with physicians, CNLs, SW CM IIs, SW Manager, and Medical Directors regarding care issues, as indicated.
oConfer, negotiate, and advocate with inpatient staff, physician practices, community providers, patients, the health care team, and Health & Aging to determine goals of care, support length of stay management, coordinate post-acute transitions, and manage variances.
oCoordinate sustainable person centered care plans involving internal and external providers. Align plan of care (current and anticipated) with available resources and proactively resolve barriers. Promote cost-effective quality care services.
- Provides leadership, support and clinical expertise within Care Management teams to achieve outcomes.
oFunctions as a role model within the team. Demonstrates ownership of the person centered plan, complex psychosocial issues and anticipated outcomes. Provides proactive planning, coordinated transition plans, and implements readmission avoidance strategies. Serves as a resource to physicians, nurses, peers and CM staff in managing complex cases and resolving issues.
oProvides leadership and facilitates communication within the inpatient and cross continuum teams to assure effective sustainable care transitions from hospital to home, within community care settings, and/or to supplement care for high risk patients.
oSupports team education and training functions related to complex psychosocial issues and transitions in care coordination. Conducts education for staff including care managers, liaisons, nurses, physicians and allied health professionals, as requested.
oImplements effective communication between inpatient units, care management team, physicians, nurses, pharmacy, persons/families, Health & Aging, and external providers.
oCoordinates interdisciplinary conferences, serves on committees and leads work groups to address psychosocial/care coordination issues. Effectively responds to Abuse & Neglect calls.
- Models and maintains a quality based proactive person centered approach to achieve department and institutional goals and process improvements.
oModels a person centered approach to support person/family directed plans and engagement. Supports customer satisfaction among persons, families, physicians, external case managers, payers, vendors, and inpatient staff.
oParticipates in research to evaluate project initiatives. Applies evidenced based practice.
Other information:
Required Job Qualifications:
- Master’s Degree in Social Work from an accredited university.
- Current license in Illinois as a Social Worker, LSW.
- Ability to perform all job components and serve as a team resource for clinically complex cases within their professional (social work) expertise.
- Experience as a health care provider for the neonate, pediatric, adolescent, adult and /or geriatric patient, and knowledge in care management, discharge planning, social service.
- Experience related to psychosocial issues, crisis management, conflict resolution, and person centered planning and care transitions.
- Skilled educator and communicator. Excellent interpersonal and team building skills, and ability to collaborate effectively with physicians, nurses, and other staff.
- Process improvement skills, abil
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