We are searching for a Service Coordinator Advanced Social Worker-- someone who works well in a fast-paced this position you will function as a member of the interdisciplinary healthcare team in the provision of Level I (and higher) patient care with the underlying objectives of enhancing the quality of clinical and financial outcomes and patient satisfaction while managing the plan of care. Within the purview of financial management this role pro-actively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds and communicates with Payers and patient/family/healthcare team regarding payer information as necessary.
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Responsibilities
Completes a comprehensive problem identification analysis of Level I (and higher) patients to identify opportunities for intervention that are appropriate and realistic for the patient/familys psycho-social cultural spiritual and physical plan of care
Performs initial assessments and follow-up assessments as well as contact calls within the time period specified as a result of acuity assessment or within two weeks upon Member/family/provider request
Plans and executes interdisciplinary and patient/family conferences as necessary to formulate and communicate the plan of care
Initiates and implements plan modifications during the episode of hospitalization and for post-acute care through monitoring and re-evaluation to accommodate changes in treatment or progress
Serves as a liaison between members of the interdisciplinary care team community providers payer sources and patient/family to ensure safe and effective plans and smooth transitions between internal and external levels of care
Assures timely performance of utilization management processes to maintain compliance with Federal State and Managed Care contract regulations
Maintains current education and training to adeptly identify the Members physical behavioral functional and psychosocial needs
As part of our commitment to maintaining a safe and healthy workplace all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards
Requirements
Bachelors degree in social work required
LBSW from the Texas Behavioral Health Ex Council (TBHEC)
Drivers license from any state required
Current automobile insurance required
CCM from Adult and Pediatric Integrated Case Management preferred
3 years experience in pediatrics particularly with patients with disabilities aged 0-20 preferred
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more