Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: RUSH Care Management
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr (8:30:00 AM - 5:00:00 PM)
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Social Worker Care Manager 2 works with the Care Management Social Work Director, RN Care Managers, 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 Social Worker Care Manager 2 contributes 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. Exemplifies the Rush mission, vision and ICARE values and acts in accordance with Rush policies and procedures.
Other information:
Required Job Qualifications:
• Master's Degree in Social Work from an accredited university.
• Current license in Illinois as a Social Worker, LSW. (LCSW preferred or commitment to obtain). 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, ability to perform tasks independently, prioritize workload, problem-solve, and analyze data.
• Strong working 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/Abuse & Neglect coverage, 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.
Preferred Job Qualifications:
• Case Management certification (or commitment to obtain within 5 years).
Physical Demands:
• Ability to travel throughout the Medical Center.
Responsibilities:
1. Manages complex patient caseload, supports Care Management Services.
2. Assess 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.
3. Perform concurrent review to resolve potential delays, address readmission risks and support reimbursement for services at the appropriate level of care. Work with physicians, RN Care Managers, SW CM IIs, SW Director, and Medical Directors regarding care issues, as indicated.
4. Confer, 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.
5. Coordinate 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.
6. Provides leadership, support and clinical expertise within Care Management teams to achieve outcomes.
7. Functions 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.
8. Provides 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.
9. Supports 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.
10. Implements effective communication between inpatient units, care management team, physicians, nurses, pharmacy, persons/families, Health & Aging, and external providers.
11. Coordinates interdisciplinary conferences, serves on committees and leads work groups to address psychosocial/care coordination issues.
12. Effectively responds to Abuse & Neglect calls.
13. Models and maintains a quality based proactive person centered approach to achieve department and institutional goals and process improvements.
14. Models 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.
15. Participates in research to evaluate project initiatives. Applies evidenced based practice.
