at Rush University Medical Center in Oak Park, Illinois, United States
Job Description
Job Description
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:
Job Summary:
The Social Worker Care Manager II is an expert social worker and role model who achieves expected outcomes, serves as a resource, and demonstrates leadership in the management of complex psychosocial issues and care transitions. The SW CM II collaborates with SW CM I, The Director of Care Transitions, Care Management Social Work Manager, CRCs, Clinical Nurse Leaders, physician practices, persons/families, as well as inpatient and outpatient teams to facilitate effective care management, support services at the appropriate level of care, and implement sustainable care transitions. The SW CM II takes the lead by coordinating person centric transitional care plans, resolving barriers, and addressing in-depth psychosocial needs. They manage an advanced caseload, actively support performance improvement initiatives, provide team/department education and training, and function as a nexus of internal and external communication between persons, physician practices, the hospital, and the community. The SW CM II effectively responds to Abuse & Neglect calls.
Responsibilities:
Job Responsibilities:
- Manages an advanced patient caseload, supports Care Management Services, and demonstrates expert ability to:
o Assess each person’s psychosocial and health care needs, monitor effectiveness, and progress plans to achieve desired outcomes. Facilitate assessment of person’s physiological, psychosocial, financial, cultural, and family situation and coordination of social services to address person/family needs. Serve as a change agent to address the needs of patients with complex psychosocial issues.
o Perform concurrent review to resolve potential delays, address readmission risks, and assure reimbursement for services at the appropriate level of care. Work with physicians, Clinical Nurse Leaders, SW Manager, and Medical Directors regarding care issues and concurrent denials as indicated.
o Proactively drives inpatient staff and physician groups to determine goals of care, promote length of stay management, and coordinate post- acute transitions. Confer, negotiate, advocate, and problem-solve with physician practice groups, community providers, patients, the health care team, and Health & Aging regarding psychosocial issues, progression in plans of care, care transitions, and variances.
o Coordinate and analyze 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.
o Functions as a leader and 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, SW CM I, Clinical Nurse Leaders, and other CM staff in managing advanced cases and resolving issues.
o Identifies opportunities to optimize 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.
o Leads department and team education, orientation, and training functions related to complex psychosocial issues and transitions in care coordination. Conducts education for staff including case managers, liaisons, nurses, physicians and allied health professionals.
o Serves as the nexus of internal and external communication. Promotes communication between inpatient units, care management team, physicians, nurses, pharmacy, persons/families, Health & Aging, and external providers. Initiates/leads interdisciplinary conferences, serves on committees, and promotes task forces/work groups to address psychosocial/care coordination issues.
- Models and maintains a quality based proactive person centered approach to achieve department and institutional goals and process improvements.
o Models a person centered approach to support person/family directed plans and engagement. Promotes customer satisfaction among persons, families, physicians, external case managers, payers, vendors, and inpatient staff.
o Participates in/leads research to evaluate project initiatives. Supports team and department satisfaction and engagement.
Other information:
Required Job Qualifications:
- Current license in Illinois as a Social Worker LCSW.
- Master’s Degree in Social Work from an accredited university.
- Case Management certification required (or commitment to obtain within 2.5 years).
- Minimum of 2 years’ experience as a health care provider.
- Expert knowledge in care management, discharge planning, and social service is required.
- Demonstrated leadership skills, knowledge of community resources, and clinical expertise related to psychosocial issues, crisis management, conflict resolution, 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, ability to perform tasks independently, prioritize workload, problem-solve, and analyze data.
- Proficient and functional knowledge of computer databases, electronic medical record systems, and info technology.
- Willingness to maintain flexible work hours, assume other duties as assigned, and provide weekend coverage/Abuse & Neglect, as needed.
- Maintains professional growth and meets licensure/CEU requirements by attendance at various internal/external meetings, seminars, workshops. Willingness to present information to peers, team, etc.
Physical Demands:
- Ability to travel throughout the Medical Center.
Disclaimer:
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Position Social Work Care Mgr LCSW II
Location US:IL:Oak Park
Req ID 10400