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:
• Interview, assess and evaluate patients, clients and families
• Provide therapeutic and/or psychosocial interventions and treatment with the goal of maximizing personal/family stability relevant to the patient's clinical and discharge needs.
• Prepare and document intake summaries, and develop treatment and discharge plans, in accordance with team recommendations and patient choice.
• Document in accordance with regulatory guidelines to ensure effective communications, and to support reimbursement standards and requirements.
• Support quality improvement initiatives, including but not limited to data collection and reporting, chart reviews, interdisciplinary rounds. Attend relevant clinical meetings.
• Perform related clinical duties as required.

ADMINISTRATIVE RESPONSIBILITIES:
• Promote Social Work involvement in professional associations, by providing education and information related to SWCM certifications; support credentialing efforts for SW staff.
• Organize and facilitate clinical supervision for social work staff. Manage, review and update staff continuing education needs. Develop and provide trainings as needed.
• Promote and provide education about the care management role throughout the organization. Identify and facilitate linkages for staff to professional development experiences.
• Provide assistance with the MSW internship program as needed and directed by the MSW Internship Coordinator.
• Review and revise job descriptions as relevant to contemporary practice, when directed by leadership.
• Ensure CM policies and procedures are consistent with regulatory guidelines; provide updates to RUMC OP&P committees when indicated.
• Promote outreach by staff to author abstracts, papers, posters for presentations internally and externally, with a focus on evidence based practice, in collaboration with CM leadership.

Other information:
Required Job Qualifications:
• Current license in Illinois as a Social Worker. LCSW required.
• Master's Degree in Social Work from an accredited university
• Two (2) years' experience as a social work clinician.
• Care Management certification (or commitment to obtain within 2.5 years)
• Ability to perform all job components and serve as a team resource for clinically complex cases within their professional (social work) expertise.
• Be willing to co-locate in the outpatient clinic when asked
• Demonstrated leadership skills, knowledge of community resources, and clinical expertise related to psychosocial issues, crisis management, conflict resolution, person-centered planning and care transitions.
• Process improvement skills, ability to perform tasks independently, prioritize workload, problem-solve, and analyze data.
• Experience utilizing motivational interviewing highly desirable
• Experience working with managed care in a health care setting highly desirable
• Strong active listening, critical thinking, judgment and decision making skills.
• Excellent verbal and written communication and organizational skills. Able to chart effectively in EPIC and use appropriate clinical social work terminology.
• Excellent interpersonal and team building skills, and ability to collaborate effectively with physicians, nurses, and other staff.
• Proficient and functional knowledge of Microsoft Office Suite, computer databases, electronic medical record systems, and info technology.
• Ability to function independently, to organize and be self-motivated
• 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:
• Bilingual English/Spanish highly desirable

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.