Social Work Care Manager, Lenexa City Center

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier. Social Work Care Manager AdventHealth Lenexa City Center All the benefits and perks you need for you and your family: Vision, Medical & Dental Benefits from Day One Student Loan Repayment Program Received Magnet recognition from the American Nurses Credentialing Center in January 2019 Schedule: Full Time Days Shift : 40 hours a week Location: Lenexa City Center 16950 West 86th Street; Lenexa, KS 66219 The community you'll be caring for: Its time to feel whole in body, mind and spirit. Our dedicated, highly skilled experts at AdventHealth Lenexa City Center are close to home, providing general and specialized surgery services, digestive care, advanced imaging, 24/7 emergency care and more. You can trust our experienced and compassionate team at AdventHealth Lenexa City Center to help heal your body, ease your mind and care for your spirit. Our hospital offers a range of medical services designed to help you feel whole and live your best, healthiest life. 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 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 consulting 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 : Masters Degree 3 years experience LMSW or Licensed RN This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Category: Case Management Organization: AdventHealth Lenexa City Center Schedule: Full-time Shift: 1 - Day Req ID: 25043049 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.

• Intervenes with patients who have complex psychosocial needs
• Requires assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies
• Requires assistance with transitions of care or discharge planning
• Offer crisis intervention to patients and families with psychosocial needs
• Coordinates and facilitates the development of a discharge plan of care for high-risk patient populations
• Receives 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)
• Ensures patient-centered care coordination through the continuum of care
• Ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations
• 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
• 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
• Communicates daily with the interdisciplinary team during daily multidisciplinary rounds
• Facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement
• 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
• 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
• 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
• 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 consulting 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

• Masters Degree
• 3 years experience
• LMSW or Licensed RN

• Vision, Medical & Dental Benefits from Day One
• Student Loan Repayment Program

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. 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.