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Job Description

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Care Management

**Work Type:** Restricted Part Time (Total FTE less than 0.5)

**Shift:** Shift 1

**Work Schedule:** 8 Hr (8:30:00 AM - 5:00:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

**Pay Range:** $10.00 - $500.00 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 Work Care Mgr (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. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Other information:

Required Job Qualifications:

•Current license in Illinois as Social Worker (LSW or LCSW). Ability to perform all job components and serve as a team resource for socially or clinically complex cases within their professional expertise. (Social Work)

•Three years’ experience as a health care provider for the neonate, pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management, discharge planning, social service, and criteria application.

•Ability to perform tasks independently, prioritize workload, and analyze data.

•Experience with information system and windows technology and competency within the UM Information System.

•Team building skills and flexibility.

Preferred Job Qualifications:

•Masters in Social Work from an accredited university.

Physical Demands:

•Role requires walking and climbing stairs throughout the Medical Center

Responsibilities:

1. Functions as an expert clinical practitioner within the Case 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.

2. 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.

3. Provides and coordinates social services to patients and their families. Assesses patient's basic and in-depth psychosocial, financial, cultural, and family situation.

4. 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

5. 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.

6. Applies pathways/guidelines, assesses variances, and proposes interventions as indicated. Participates in the development, implementations and evaluation of pathways/guidelines and process improvement plans.

7. 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

8. Monitors and reports potential quality issues and makes recommendations when appropriate.

9. 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.

10. Promotes customer satisfaction among patients, families, physicians, external case managers, payors, vendors, and inpatient staff. Actively promotes ICARE principles.

11. Serves on hospital-wide and departmental committees when applicable.

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.

**Position** Social Work Care Manager Per Diem

**Location** US:IL:Chicago

**Req ID** 19556