Job Information
Catholic Health Initiatives Social Worker Care Manager in Houston, Texas
Overview
Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.
Responsibilities
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.
ESSENTIAL KEY JOB RESPONSIBILITIES
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.
Provide educational information and emotional support to the patient and family/significant other throughout rehabilitation and subsequent community settings.
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.
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.
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.
Identify discharge planning needs determined through patient and significant other contact, chart reviews, health care team rounds and clinical pathways and protocols.
Execute DC plans that include home health referrals, durable medical equipment (DME) and identification of other social services needs.
Reconcile services rendered with patient benefits and communicate with physicians and third party payers to ensure appropriate services and reimbursement.
Identify when services rendered no longer meet reimbursement guidelines and apprise &/or initiate denial of benefits process.
Comply with all required standards for medical/legal reporting situations (elder abuse, commitment, guardianship, etc.).
Ensure consistent communication with all team members throughout the care continuum, including patient, families and other health care providers in acute settings.
Qualifications
Required Education and Experience:
Master’s Degree from a Council on Social Work Education
Texas license as Licensed Clinical Social Worker (LCSW)
Five (5) years of hospital work experience
Required Minimum Knowledge, Skills, Abilities and Training:
Proven creative problem resolution skills.
Excellent interpersonal and team work skills.
Disclosure Statement
The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.
Pay Range
$32.08 - $46.51 /hour
We are an equal opportunity/affirmative action employer.