Long Term Care Social Work Care Coordinator - Chicago, United States - Cook County Health & Hospitals System

Cook County Health & Hospitals System
Cook County Health & Hospitals System
Verified Company
Chicago, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

LONG TERM CARE SOCIAL WORK CARE COORDINATOR - HEALTH PLAN SERVICES

Job Number:
**
Job Posting: Apr 22, 2024, 10:07:51 AM
Closing Date: May 6, 2024, 11:59:00 PM

Full-time
Shift Start Time: 8:30 A

M
Shift End Time:
4:30 P.M.


Collective Bargaining Unit:
SEIU Local 73


Posting Salary:
$39.826


Organization:
Health and Hospital Systems





LOCATION:
Health Plan Service - 4896




SHIFT:
8:30 AM - 4:30 PM

SEIU 73

Job Title
Long Term Care (LTC) Social Worker Care Coordinator


Department
CountyCare

***- The Long Term Care (LTC) Social Worker Care Coordinator (SWCC) supports the provision of care coordination in a manner that recognizes the Enrollee, medical home team, and (LTC) or supportive living facility (SLF) staff as essential partners in the Enrollee's care. The care coordination services are offered at the LTC/SLF facility. The LTC SWCC completes the assessment of healthcare needs and/or the social determinants of health that affect the provision of care. In collaboration with the Enrollee, the LTC SWCC uses assessment results to develop and implements a care plan to support care goals. Works with multiple disciplines to achieve the desired outcomes for the Enrollee.


Typical Duties

  • Completes required assessments including health risk screenings, health risk assessments, conducting face to face visits with members in the LTC facilities, completing care plans based on needs, goals and risks identified in the health risk assessment. Collaborating with LTC facilities and providers to ensure that member has necessary durable medical equipment (DME), working to ensure that members are in contracted LTC facilities. The LTC SWCC in collaboration with LTC facility SW assesses the member's readiness to transition safely into the community in collaboration with other entities i.e. Colbert/Williams Decree.
  • Provides care coordination services for County Care members onsite in longterm care facilities, including nursing homes, skilled nursing facilities, and supportive living facilities.
  • Conducts required assessments and contacts to meet contractual requirements.
  • Conducts facetoface visits, in a timely manner, to assess member's care in the nursing facilities and SLFs
  • Collaborates with members, families, and LTC facility to create care/service plan that reflects member goals and needs.
  • Collaborates with members, licensed agencies, and LTC staff to assist with safe transition from the LTC facility into the community under the Colbert or Williams Consent Decree.
  • Conducts quarterly facetoface visits for one calendar year with Colbert/Williams Consent Decree members to review care plans, service plans, and assess home environment to ensure safe transition into communities and prevent reentry into nursing facilities.
  • Reports regulatory concerns identified in nursing homes, including abuse, neglect and exploitation to regulatory agencies, i.e. Illinois Department of Public Health, Adult Protective Services etc. Also, completes appropriate Critical Incident to report to managed care organization (MCO).
  • Attends interdisciplinary care plan meetings in the nursing homes to address concerns identified by member and/or Care Coordinator, i.e. multiple hospitalizations, chronic health conditions, frequent falls, sentinel events, etc.
  • Conducts record reviews to ensure that member is receiving all services prescribed by the physician as outlined in physician orders and/or care plan
  • Addresses health concerns identified by member, family and/or care coordinator that LTC facility should escalate to physician.
  • Performs other duties as assigned.

Minimum Requirements

  • Licensed as a Social Worker in the State of the Illinois
    _is required_:
  • Two (2) years care coordination or work experience in a collaborative multi-disciplinary model
    _is required_:
  • Two (2) years of healthcare work experience
    _is required_:
  • One (1) year of experience in long-term care environment, i.e.

nursing home or rehabilitation facility
_ is required_:

  • Valid Driver's license and mandatory vehicle insurance or other means of transportation
    _is required_

Preferred Qualifications

  • Bilingual English/Spanish
    _is preferred_

Knowledge, Skills, Abilities and Other Characteristics

  • Ability to work in fast paced and changing environment
  • Excellent organizational skills
  • Ability to work independently
  • Excellent verbal and written communication skills
  • Excellent critical thinking skills
  • Excellent computer skills including ability to navigate in disparate systems, knowledge, and use of common software (Microsoft suite, SharePoint, etc.)
  • Good working knowledge of managed care and care coordination

Physical and Environmental Demands
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but
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