Social Work Care Manager
AdventHealth
Date: 21 hours ago
City: Mansfield, TX
Contract type: Full time
All the benefits and perks you need for you and your family:
Joining Texas Health Hospital Mansfield - AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Hospital Mansfield - AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Texas Health Hospital Mansfield- operates as a joint venture between Texas Health Resources and AdventHealth.
Schedule: Full-time
Shift: 7 days on, 7 days off
(Thursday Wednesday 6:00am - 4:30pm OR 7:00am-5:30pm)
Flexibility with schedule specific schedule to be discussed with the manager.
Location: 2300 Lone Star Road; Mansfield, TX 76063
The Community You'll Be Caring For
Join a family of caregivers focused on whole-person health and committed to making communities healthier.
Provide wholistic care for patients that extends to the spiritual level by praying with patients and families. Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support.
Help develop a brand new $150 million community hospital and medical office building that will provide services such as Emergency Services, Medical/Surgical, ICU, Womens Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology.
Grow in your career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to Work in Healthcare. AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortunes 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth.
Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for Best Places to Live. Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023. Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%. Mansfield has top-rated schools, over 1000 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community.
The Role You'll Contribute
The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high-risk patient populations. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team). The Social Work Care Manager, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination through the continuum of care. The Social Work Care Manager ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The Social Work Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The Social Work Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies of this role. The Social Work Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The Social Work Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social Work Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The Social Work Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The Value You'll Bring To The Team
The expertise and experiences you'll need to succeed:
Education And Experience Required
Category: Case Management
Organization: Texas Health Huguley Hospital
Schedule: Full-time
Shift: 1 - Day
Req ID: 25034084
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
- Mental Health Resources and Support
- Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
- Nursing Clinical Ladder Program
Joining Texas Health Hospital Mansfield - AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Hospital Mansfield - AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Texas Health Hospital Mansfield- operates as a joint venture between Texas Health Resources and AdventHealth.
Schedule: Full-time
Shift: 7 days on, 7 days off
(Thursday Wednesday 6:00am - 4:30pm OR 7:00am-5:30pm)
Flexibility with schedule specific schedule to be discussed with the manager.
Location: 2300 Lone Star Road; Mansfield, TX 76063
The Community You'll Be Caring For
Join a family of caregivers focused on whole-person health and committed to making communities healthier.
Provide wholistic care for patients that extends to the spiritual level by praying with patients and families. Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support.
Help develop a brand new $150 million community hospital and medical office building that will provide services such as Emergency Services, Medical/Surgical, ICU, Womens Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology.
Grow in your career with AdventHealth, named in 2018 by Beckers Hospital Review as one of the 150 Top Places to Work in Healthcare. AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortunes 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth.
Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for Best Places to Live. Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023. Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%. Mansfield has top-rated schools, over 1000 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community.
The Role You'll Contribute
The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high-risk patient populations. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team). The Social Work Care Manager, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination through the continuum of care. The Social Work Care Manager ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The Social Work Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The Social Work Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies of this role. The Social Work Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The Social Work Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social Work Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The Social Work Care Manager adheres to departmental and system goals, objectives, policies and procedures and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The Value You'll Bring To The Team
- Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de-escalation services for patients as appropriate.
- Assesses patients and families wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
- Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
- Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
- Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
- Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
The expertise and experiences you'll need to succeed:
Education And Experience Required
- Master's Required
- 4 Work Experience Required
- Licensed Social Worker (LSW) Preferred
- Clinical Social Worker License (LCSW) Preferred
- Certified Social Worker (CSW) Preferred
- Licensed Masters Social Worker - Advanced Practice (LMSW-AP) Preferred
- Licensed Master Social Worker (LMSW) Preferred
- Lic Baccalaureate SocialWorker (LBSW) Preferred
Category: Case Management
Organization: Texas Health Huguley Hospital
Schedule: Full-time
Shift: 1 - Day
Req ID: 25034084
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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