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SOCIAL WORKER-CARE MANAGER

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Professional Non-Clinical
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2018-R0182824 Requisition #
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Baylor St. Luke’s Medical Center

A quaternary care facility that is home of the Texas Heart® Institute, a world-class cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD–consistently ranked as one of the nation’s best in Cardiovascular Services & Heart Surgery.



The first hospital in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award four consecutive times. Baylor St. Luke’s is home to three freestanding community emergency centers (Holcombe, Pearland, and San Felipe) offering adult and pediatric care–treating more than 51,000 patients annually. The hospital holds a collaborative partnership with Baylor College of Medicine and affiliations with The University of Texas Medical School at Houston, The University of Texas Medical Branch (Galveston), Houston Baptist University, and Prairie View A&M University.




MINIMUM QUALIFICATIONS

Education and Licensure

Required:

Master’s Degree from a Council on Social Work Education

Texas license as Licensed Clinical Social Worker (LCSW)
Minimum Experience

Five (5) years of hospital work experience

Minimum Knowledge, Skills, and Abilities

Proven creative problem resolution skills

Excellent interpersonal and team work skills

POSITION SUMMARY

Directs services through the continuum of care, Provides appropriate clinical information to third party payers to ensure reimbursement of series, provide education and emotional support to patients and significant others and assist the patent and family as they progress through the continuum of care.

POSITION RESPONSIBILITIES

1. Assess, plan, implement, coordinate, monitor and evaluate options and services needed to meet the patient’s health needs as they move through the Rehabilitation phase in the continuum of care

2. Provide educational information and emotional support to the patient and family/significant other throughout rehabilitation and subsequent community settings

3. Identify patient care needs with input from members of the rehabilitation health care team and communicate/coordinate alternative settings with third party payers and other health care providers

4. Complete all necessary arrangements for transfer of care from one health care setting to the next after the rehabilitation care phase. Coordinate transfer and communicate to appropriate members of the health care team

5. Function as a case manager ensuring that a coordinated team approach to patient care is utilized throughout the continuum and into the community setting for patients

6. Identify discharge planning needs determined through patient and significant other contact, chart reviews, health care team rounds and clinical pathways and protocols

7. Execute DC plans that include home health referrals, durable medical equipment (DME) and identification of other social services needs

8. Reconcile services rendered with patient benefits and communicate with physicians and third party payers to ensure appropriate services and reimbursement

9. Identify when services rendered no longer meet reimbursement guidelines and apprise &/or initiate denial of benefits process

10. Comply with all required standards for medical/legal reporting situations (elder abuse, commitment, guardianship, etc.)

11. Ensure consistent communication with all team members throughout the care continuum, including patient, families and other health care providers in acute settings

About Us


Chances are, you’re here because you’re looking for a career offering greater opportunity, challenge and fulfillment. We’re confident you’ll find all three at CHI. As one of the nation’s largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment


Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employement without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disabilitiy or any other legally protected characteristic. 

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