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Schedule: Mon-Fri hours between 8:00 am - 5:00 pm (32 hrs/wk) No on-cal

At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

A Brief Overview

Performs utilization management activities and care coordination across the continuum of care in collaboration with the physician and other members of the health care team.

Essential Functions

Develop and maintain a positive and credible relationship with patients, physicians, and nursing staff to ensure a team based approach and an effective continuum of care for the patient.

+ Identify chronic frequent and complex cases and proactively assist in developing a care plan to ensure the appropriate level of care is provided to the patients and family.

+ Ensure patient follow-up and follow-through with patients medications, visits, and care directing to community resources as needed

+ Maintain up-to-date knowledge of community resources available to patients and families and refer appropriately

+ Collaborate with physicians and other medical staff to promote and maintain a follow-through culture with patients inside and outside of the clinics

+ Proactively reach out to known frequent and complex cases to ensure that the quality of care is obtained.

+ Incorporates and counsels on the correct and consistent application, interpretation, and utilization of health care benefits

+ Monitors the progression of the plan of care and facilitate discussions with the multi-disciplinary teams.

Provides referrals for financial and supportive needs.

+ Gathers information from patients/families.

+ Shares appropriate resource materials and information with patients/families.

+ Obtains necessary release of information authorization.

+ Provides follow-up as deemed appropriate.

+ Documents interventions appropriately in chart.

Conducts psychosocial assessments related to the type of illness/needs present:

+ Screens patients in assigned areas daily.

+ Establishes professional working relationships with staff/families.

+ Collaborates with multidisciplinary team to understand the medical needs of the patients/families.

+ Appropriately documents assessment in chart.

+ Formulates patient goals on multidisciplinary/daily goal sheets.

+ Provides appropriate patient education and documents appropriately.

Provides assessment and coordination of suspected child abuse/neglect cases.

+ Assesses psychosocial dynamics.

+ Communicates with medical and nursing personnel regarding assessment and plan.

+ Facilitates referral and provides ongoing communication with CPS, law enforcement, and county attorney’s office.

+ Documents pertinent information and completes all reports in a timely fashion.

+ Prepares and presents cases at Children’s Advocacy Team. Attends on an as needed basis.

+ Provides consultation/interventions regarding legal issues such as determining guardianship and assisting with adoption cases.

+ Consults with Compliance Officer/Legal Counsel as necessary.

+ Provides appropriate patient education.

Provides supportive counseling to patients/families, based on department need and license scope of practice

+ Assists families with problem-solving and utilizing their positive coping strategies.

+ Provides interventions which reflect knowledge of counseling technique and is enhanced by disease specific knowledge.

+ Documents interventions appropriately in chart.

+ Facilitates support groups as needed.

Education Qualifications

+ Bachelor's Degree from an accredited college or university in Social Work or related field Required and

+ Master's Degree from an accredited college or university in Social Work Preferred

Experience Qualifications

+ Minimum 6 months experience with care coordination, direct patient care delivery & case management, or social work Required and

+ Experience in a pediatric clinical setting Preferred

Skills and Abilities

+ Knowledge of the Nurse Practice Act, The Joint Commission, HIPPA & all other applicable federal/state/local laws and regulations

+ Strong communication and customer service skills, problem-solving, critical thinking, and clinical judgment abilities

+ Intermediate knowledge of word processing, computer navigation skills

+ Ability to interpret, and use analytic data in day-to-day operations

+ Knowledge of healthcare benefits associated with various business lines (e.g., Medicaid, etc.)

Licenses and Certifications

+ A valid driver’s license and an acceptable motor vehicle record/driving record Required

Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!

**Requisition ID** : 22976