Ambulatory Care Manager II (CI-1.0)

Franciscan Alliance, Inc.

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About The Position

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.

Requirements

• Master's Degree- Social Work- Required
• Licensed Social Worker (LSW)- State Licensing Board- Indiana- Required
• Basic Life Support Program (BLS) American Heart Association- Required
• 3 Years- Patient Care Experience- Required
• 3 Years- Social Work Experience- Required

Nice To Haves

• 2 Years- Case Management or Care Coordinator- Preferred

Responsibilities

• 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.

Benefits

• Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees