Social Services Care Manager
$25.12 - $31.4 per hourBillings Clinic
You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here.About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!
Social Services Care Manager
Billings Clinic (BILLINGS CLINIC HOSPITAL)
req11895 Shift: Day, Evening, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 0.90 = 72 hours every two weeks (Non-Exempt)
Starting Wage DOE: $25.12 - 31.40 Under the direction of department leadership,social service care manager staff provide services consisting of comprehensivecase management, care coordination, continuing care services, and clinicalsocial work services including crisis intervention and emotional support withinthe professional's defined scope of practice. In addition, the social servicescare manager is responsible for providing education addressing physical,psychosocial, financial, environmental, and other needs of patients andfamilies and/or significant others. The social services care manager is part ofan interdisciplinary team who promotes health and address medical andnon-medical barriers. Essential Job Functions
• Advocates for and assists the patient as they moveacross the care continuum
• Treats all patients with compassion and respectsindividual rights to self-determination
• The responsibilities of the Social Worker care manager are listedbelow, in order of priority and intended to ensure effective prioritization oftasks.
• Priority 1: Reviews New Patients for PsychosocialNeeds
• Reviews Cernercensus and ensures all patients are accounted for on assigned floor
• Meets with unitassigned RN Care Manager at the beginning of every shift to determine whichpatients have complex psychosocial needs requiring social work assessment anddischarge planning interventions
• Collaborateswith RN Care Manager to evaluate patients with psychosocial needs, including butnot limited to, patients with the following needs:
• PsychosocialAssessment
• Crisis intervention/Trauma
• Adjustment toillness/new diagnosis
• Grief &bereavement, end-of-life concerns
• Chronicsubstance abuse (assessment and referral)
• Abuse and/orneglect (consultation)
• Sexual assault
• AdvanceDirectives
• Self-pay
• Competencyconcerns
• Homeless/Unsafedischarge
• Guardianship/Adoption
• Mentalhealth/behavioral issues
• Patientsadmitted from Skilled Nursing Facilities or Alternative Living Facilities
• The Pediatrics, Family Birth Center, and NICU and/or baby issues
• Identifiespatients and families needing support for emotional, social, and financialconsequences of illness and/or disabilities
• Accesses andmobilizes family and/or community resources to meet identified needs
• Collaborateswith the Palliative Care Team related to treatment, end-of-life decisions, andbereavement
• Educates andcommunicates with multi-disciplinary team on any social, emotional, cultural,environmental, economic, and/or supportive care needs for targeted patients
• Priority 2:Initiates and Coordinates Discharge Planning for Assigned Patients
• Collaborateswith RN Care Managers for resolution of complex patient problems and coordinatescommunity resources as needed, to achieve desired treatment outcomes
• Participates indischarge planning activities for complex patients, to ensure a timelydischarge and to provide appropriate linkage with care providers,post-discharge
• Intervenes withfamilies exhibiting complex family dynamics which impact directly on patientcare and plan for discharge
• Communicateswith the multidisciplinary tea, regarding the discharge planning status of all patientsreferred to
• Notifies CareManagement Department of newly identified resources or change in previouslyidentified resources
• Utilizesproactive discharge planning to engage the patient/family/caregiver in thedevelopment and implementation of the discharge plan
• Discussespatient's discharge plan and needs with the care team
• Documentsdischarge plan, patient's and/or patient's representative understanding of theplan, and their input to the plan, including refusal of discharge plan
• Educates patientor patient representative regarding post-acute options, obtains a minimum of 3choices for post-acute services, and documents choices per policy
• Ensuresauthorization is obtained for post-discharge services, if required; follows-upwith facility and/or payer daily, if authorization is not obtained within 24hours
• Contactsreferral agencies to make post discharge arrangements for patients, includingverification of bed availability
• Confirms actualand projected discharge dates with patient, family, and/or patientrepresentatives; ensures transportation is arranged
• Updatespost-acute providers of patient's discharge condition and final discharge plans
• Reassesses anddocuments discharge needs throughout the patient stay at minimum every 3 days,or as patient condition changes; communicates changes with patient and/orpatient representative
• Priority 3: Attends MDRs, Department Meetings, andAdditional Trainings
• Attends MDRs onassigned units
• Identifiesanticipated discharge date for assigned patients
• Attends 1400afternoon huddles with charge nurse and nurse care manager to ensure actionitems from MDRs have been completed; escalates barriers to supervisor
• Presents anddiscusses transition plans of assigned patients at MDRs
• Provides CareManagement Department Supervisor and/or Managers timely follow-up of actionitems discussed at MDRs before end of shift
• Attendsdepartmental meetings and/or trainings as scheduled
• Priority 4:Leads Patient-Family Conferences
• Assesses needsfor discussion with patient, family, physician and care team regardingpatient's care or discharge plan
• Schedules andleads patient care conferences to resolve issues and provide clarification topatient, physician, and family
• Priority 5:Escalates Barriers as Appropriate
• Discussesbarriers to discharge with attending physician and/or multi-disciplinary team;if unsuccessful or unable to resolve issues, escalates to Supervisor, Manager,or Director
• Insurance and Utilization Management
• Maintains working knowledge of CMS requirements andreadmission penalties
• Maintains working knowledge of insurance/payer benefit
• Documents accurately and in a timely manner in theElectronic Medical Record per program guidelines
• Utilizesstandards of professional practice in all documentation and communicationconsistent with organization/department policy.
• Assuresdocumentation and patient information is secure and maintained in accordancewith Billings Clinic policy, HIPPA, state and federal guidelines • Professional Accountabilities
• Participates in continuing education, department planning, work teams and process improvement activities
• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advanced directives, disaster protocols and safety
• Demonstrates the ability to be flexible, open minded and adaptable to change
• Maintains competency in organizational and departmental policies/processes relevant to job performance
• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession
• Performs all other duties as assigned or as needed to meet the needs of the department/organization Minimum Qualifications
Education
• 4 Year / Bachelor'sDegree social work or related field; human services, sociology or psychology. Other MinimumQualifications
• Previous experience in health care field preferred. Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at
Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.
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