Ambulatory Complex Care Manager

OSF HealthCare•Vale of White Horse, Illinois

13h

About The Position

The Ambulatory Complex Care Manager promotes optimal clinical and resource outcomes by assessing, planning, implementing, coordinating, and monitoring interventions, and by developing comprehensive patient care plans. The role communicates on an ongoing basis and collaborates with the Interdisciplinary Care Team to promote quality of care. It coordinates health care services to support care at the appropriate level and optimize clinical outcomes and patient satisfaction. The manager assesses and addresses complex psychosocial and behavioral health issues and needs related to population management and transitions of care. The role requires the knowledge and skills to serve the assigned patient population and works with Care Management Division leadership to align with OSF Key Results and strategic goals. After the first 90 days, the position allows one work-from-home day.

Requirements

Bachelor’s degree in Social Work (BSW).
Comply with Illinois and/or Michigan licensing and certification requirements in the state where the employee practices.
BSW employees without three years of supervised clinical hours must complete the clinical practicum required to sit for the examination or apply for social work practice licensure.
BSW employees must obtain the applicable state license within four years of hire. Employees must identify a clinical supervisor by day 91, complete supervision within three years, and submit the state application within one month after completing clinical supervision. Previously documented supervised clinical hours count toward the four-year timeframe.
MSW employees who are not licensed must begin the licensing application process by day 91 and obtain the applicable state license within one year of hire.
Three years of experience caring for patients.
Broad knowledge of chronic illness and medical and community resources.
Working knowledge of a clinical EMR system and Microsoft Office applications.
Flexible work schedule, including weekend, holiday, and on-call rotation.
Ability to use independent judgment and make decisions with little supervision.
Interpersonal skills to develop and maintain cooperative working relationships with personnel from other departments, along with excellent time management skills.
Positive, empathetic approach and ability to communicate effectively with patients and families across health issues, age groups, and socioeconomic backgrounds.

Nice To Haves

Master’s degree in Social Work (MSW).
Experience with chronic, complex illnesses in adult and/or pediatric care management.

Responsibilities

Assess, plan, implement, coordinate, and monitor interventions to promote optimal clinical and resource outcomes.
Develop comprehensive plans of care for patients.
Communicate on an ongoing basis and collaborate with the Interdisciplinary Care Team to promote quality of care.
Coordinate health care services so patients receive care at the appropriate level and achieve optimal outcomes and satisfaction.
Assess and intervene to address complex psychosocial and behavioral health issues and needs associated with population management and transition plans.
Work with Care Management Division leadership to align work with OSF strategic goals and Key Results.