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SalaryLocation: Oak Park, IL
Hospital: RUSH Oak Park Hospital
Department: Case Management
Work Type: Restricted Part Time (Total FTE less than 0. 5)
Shift: Shift 1
Work Schedule: 8 Hr
Summary:
Job Summary:
The Care Manager (CM) works with physician practices and inpatient teams to promote the effective utilization of services and coordination of patient centered care. The CM contributes to the team s effectiveness by reviewing plans of care, identifying barriers to effective and efficient utilization of resources, and appraising patients psychosocial, financial and clinical needs throughout the continuum of care. The CM functions as a liaison between patients, physician practices, the hospital, and the community and ensures that patients continuity of care and psychosocial needs are met.
Responsibilities:
Job Responsibilities:
Functions as an expert clinical practitioner within the Care Management team and serves as a resource to assigned physician practice groups. Shares their professional expertise as a Social Worker and serves as a resource for CMs within their team to manage socially complex cases.
Provides basic assessment of patients health care needs, monitors patients progress, and confers with physician practice group and health care team regarding variances from the anticipated plan of care. Seeks assistance as needed regarding complex clinical care issues.
Provides and coordinates social services to patients and their families. Assesses patient s basic and in-depth psychosocial, financial, cultural, and family situation.
Manages a complex patient caseload and demonstrates expert ability to coordinate and implement discharge management services and provide continuity of care planning. Finds community resources for potential sources of assistance, maintains contact with community resources, and consults with physicians and inpatient groups regarding use of community resources
Reviews admissions and ongoing stays of patients with respect to the medical necessity, appropriateness, and quality of care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case issues and concurrent denials as indicated.
Applies pathways/guidelines, assesses variances, and proposes interventions as indicated. Participates in the development, implementations and evaluation of pathways/guidelines and process improvement plans.
Collaborates with inpatient staff and physician groups to determine goals for length of stay management and discharge management activities. Promotes cost-effective quality care services
Monitors and reports potential quality issues and makes recommendations when appropriate.
Utilizes the CM information system and appropriate technologies. Monitors variances and trends related to select goals. Assist CM team and hospital groups to develop action plans and address identified opportunities for improvement.
Promotes customer satisfaction among patients, families, physicians, external case managers, payors, vendors, and inpatient staff. Actively promotes ICARE principles.
Serves on hospital-wide and departmental committees when applicable.
Performs basic administrative tasks related to job:- e.g. time planning, recording reports and other routines as requested.
Provides training, supervision, and orientation for staff and new employees as needed. Makes professional judgements with minimal administrative supervision. Maintains professional growth by attendance at various department, institutional, and external meetings, seminars, and workshops.
Other information:
Required Job Qualifications:
Current license in Illinois as Licensed Social Worker (LSW or LCSW). Ability to perform all job components and serve as a team resource for socially complex cases within their professional expertise. (Social Work)
Masters in Social Work from an accredited university is required.
Minimum of 3-4 years experience as a health care provider for the neonate, pediatric, adolescent, and adult and /or geriatric patient, and knowledge in case management, discharge planning, social service, and criteria application.
Ability to perform tasks independently, prioritize workload, and analyze data is required.
Experience with information system and windows technology and competency within the CM Information System.
Team building skills and flexibility is crucial.
Physical Demands:
Role requires climbing stairs and traveling 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.
