Overview
Ambulatory Social Work Care Manager II Jobs in Chicago, IL at Rush University
Full Job Description
Location:Chicago, IL
Hospital:RUSH University Medical Center
Department:Rush Health Care Management
Work Type:Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule:8 Hr
Summary:
The Social Work Care Manager II is an Illinois licensed social worker who provides patient care through a diverse role as a clinician, educator, care coordinator, and advocate. The Social Work Care Manager II collaborates with other members of the health care team to facilitate effective care management and support services at the appropriate level of care and implement sustainable solutions to support patients and families. The Social Work Care Manager II incorporates a motivational interviewing approach, attending to the patient’s ability to successfully self-manage chronic illnesses and effectively utilize health care services. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.
Responsibilities:
Facilitate assessment of person’s physiological, psychosocial, financial, cultural, and family situation and coordination of social services to address person/family needs. Develop a psychosocial plan of care and serve as a change agent to address the needs of patients with complex psychosocial issues.
Connect patient to needed community-based services, providing intensive care coordination as clinically indicated.
Confer, negotiate, advocate, and problem-solve with physician practice groups, community providers, patients, and the health care team regarding psychosocial issues, progression in plans of care, care transitions, and to improve patient access to needed services.
Functions as a leader and role model within the team.
Demonstrates ownership of the person centered plan, complex psychosocial issues and anticipated outcomes. Assess progress toward goals based on clinical judgment and motivational interviewing techniques.
Participates in development, implementation and evaluation of programs within their respective RUMG clinics.
Provide crisis intervention when needed.
Provide educational materials and resources to patient and family that are in a format which is specific to the patient/family learning abilities and language preference.
Assist with timely follow-up and coordination of care for patients discharged from ER, hospital or other healthcare facility.
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.
Improves and identifies value based care outcomes (i.e. 7 day post inpatient discharge, Emergency Department visit follow-up, new patient outreach, ED frequent users) by using value based care quality measures.
Collaborates as part of a multidisciplinary team. Respects each person’s roles and contribution.
Leads department and team education, orientation, and training functions related to complex psychosocial issues and transitions in care coordination.
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.
CLINICAL RESPONSIBILITIES:
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Title: Ambulatory Social Work Care Manager II
Company: Rush University
Location: Chicago, IL
Category:
