The Ambulatory Care Manager II is a master's prepared social worker that utilizes professional medical social work skills or Respiratory Care Practitioner to support the care team and patient population by facilitating the assessment of patients and families requiring psychosocial assessment, legal intervention, counseling support or respiratory care management, assessing, facilitating, planning, and advocating health needs on an individual basis. This position establishes, documents and implements treatment plans in collaboration with care team members. The Ambulatory Care Manager II will meet established organizational goals as outlined in "Franciscan Values and Service Standards".
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Acts as a liaison and coordinates with a hospital multidisciplinary team, post-discharge providers and patient/family with the transaction of care.
Complies with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting.
Maintains accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
Provides clinical coordination of care, including chronic care conditions.
Reviews admissions, level of care, and continued stay utilizing nationally recognized criteria with respect to medical necessity, appropriateness of care and quality concerns.
Provides initial and continued stay reviews within the required period to the payers to justify hospitalization; identifies and documents avoidable days and reports quality concerns.
Works with quality department to improve the quality of care in acute and ambulatory settings.
QUALIFICATIONS
Master's Degree- Social Work- Required
Licensed Social Worker (LSW)- State Licensing Board- Indiana & Illinois- Required
Basic Life Support Program (BLS) American Heart Association- Required
3 Years- Patient Care Experience- Required
3 Years- Social Work Experience- Required
2 Years- Case Management or Care Coordinator- Preferred
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
A trusted leader in providing faith-based, integrated health care, Franciscan Alliance brings together the latest technology, innovative procedures and the brightest, most compassionate people to serve our patients in Indiana, Illinois and Michigan. Throughout our 13 hospitals and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.
Our health care system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by: Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities; Treating the mind, body and spirit with holistic and comprehensive medical options; Developing creative structures for health care delivery; Being advocates for those in need; Identifying and developing our sisters and laity for Franciscan leadership.
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