Social Work Care Manager - Mansfield

All the benefits and perks you need for you and your family:

• 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

Texas Health Hospital Mansfield- operates as a joint venture between Texas Health Resources and AdventHealth.

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, Women’s Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology. · Grow in your career with AdventHealth, named in 2018 by Becker’s 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 Fortune’s 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: · Psychosocial Assessment and Interventions oAssesses patient's and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, assisting those coping with adjusting to significant life transitions o Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs o Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and endof-life issues o Provides grief counseling and crisis intervention skills o Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the healthcare system o Provides de-escalation services for patient/family as appropriate o Provide Motivational Interview techniques for patients with substance use and addictive disorders o Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention o Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis o Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers · Receives referrals for psychosocial complex needs from the health care team. · Provides assessment and reporting interventions in child abuse/neglect, domestic violence, adult/elderly abuse, child protection, sexual assault, and human trafficking as appropriate. · Provides consult services for patients who may possibly lack decision making capacity. Follows the guardianship (temporary/ permanent) policies and procedures and coordinates with Care Management leadership throughout the process. · Provides consult services for foster care and adoptions. Qualifications The expertise and experiences you’ll need to succeed: EDUCATION AND EXPERIENCE REQUIRED: · Masters in Social Work (MSW) · Minimum three (3) years experience in hospital/medical social work · BLS certification EDUCATION AND EXPERIENCE PREFERRED: · BLS Certification · Licensed Clinical Social Worker (LCSW) · ACM/CCM certification This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Category: Case Management Organization: Texas Health Huguley Hospital Shift: 1 - Day Req ID: 24029125 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.