Ambulatory Social Worker Care Manager

Harris Health System, Inc.; Houston (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Harris Health System is seeking an Ambulatory Social Worker Care Manager to join its care management team and coordinate care for patients with complex psychosocial needs.

You will facilitate assessment, planning, and coordination, advocating for services and connecting to community resources to promote quality outcomes. Spanish preferred; bilingual staff are valued.

Qualifications

• Master of Social Work degree required.
• Licensed Social Worker (LCSW) or LMSW in Texas.
• Certified Case Manager within 2.5 years of employment.
• Basic Life Support (AHA) certification.
• 1 year care management or discharge planning; 2 years healthcare social work preferred.
• 1 year management experience preferred.
• Spanish language skills preferred.

Responsibilities

• Facilitate assessment, planning, and care coordination for patients and families.
• Advocate for services and connect to community resources.
• Participate in interdisciplinary team meetings to coordinate care.
• Provide crisis intervention and mental health assessment as needed.
• Assist in determining eligibility for social programs.

Skills

Verbal communication

Public speaking

Writing/Reports

Analytical abilities

Medical terminology

Spanish (preferred)

Education

Master of Social Work

Tools

MS Word

Personal Computer

Job description

Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.

At Harris Health, we prioritize the well-being of our most valuable asset--our people--ensuring a culture of compassion, collaboration and excellence in serving Harris County's most in need. With integrity and accountability at our core, we commit to "leading with love", embodying our dedication to quality care, education, and a steadfast respect for every individual's contribution to our mission.

Job Summary

The Ambulatory Social Worker Care Manager (ASWCM) facilitates the collaborative interdisciplinary process of case management encompassing assessment, planning, facilitation, care coordination, and evaluation appropriate to the scope of licensure. The ASWCM helps patients and their families address and resolve the social, financial, and psychological problems related to their health condition. The ASWCM identifies options and advocates for services to meet the patients and family's comprehensive needs with available resources to promote quality cost-effective outcomes.

The ASWCM identifies options and advocates for services to meet the patient's and family's comprehensive needs with available resources to promote quality cost-effective outcomes. ASWCM help people assess and solve problems in their lives. Challenges range from physical and mental illness to domestic violence; additional duties depend on the type of population served. The ASWCM systematically intervenes to provide clinical social work to patients and their families who experience complex psychosocial needs. The ASWCM will provide assistance with eligibility determination for social programs, as well as assist in qualifying for community assistance from a variety of sources or agencies. The ASWCM offers crisis intervention and/ or mental health assessment to patients and families, coordinates and facilitates the development of a multidisciplinary plan of care for high-risk patient populations. This role will participate in an interdisciplinary team meetings to ensure that psychosocial issues are addressed as required across the continuum of care.

The ASWCM participates in quality improvement activities, exemplifies professionalism, and promotes a customer-friendly environment by utilizing social work professional behaviors when interacting with patients, families, and staff members.

Minimum Qualifications

Degrees/Work Experience/School Education:

• Masters in Social Work

Licenses & Certifications:

• Certified Case Manager required within 2.5 years of employment
• Basic Life Support from a hospital- based American Heart Association (AHA) approved program.
• Licensed Clinical Social Worker (or) Licensed Master Social Worker: in the State of Texas

Work Experience:

• One (1) Year Work Experience in Care Management, Quality Management, or Discharge Planning (Preferred)
• Two (2) Years Work Experience as a social worker in healthcare (Preferred)

Management Experience:

• One (1) Year of Management Experience (Preferred)

Communication Skills:

• Above average Verbal Communication (Heavy Public Contact)
• Exceptional Verbal (Public Speaking)
• Writing/Correspondence
• Writing/Reports

Language: Spanish Preferred

Proficiencies:

• MS Word
• Personal Computer

Job Attributes

Knowledge/Skills/Abilities:

• Analytical Abilities
• Mathematics
• Medical Terminology Knowledge

Work Schedule:

• Flexible
• Holidays
• On-Call
• Eligible for Telecommute
• Travel
• Weekends

Other Special Requirements:

Equipment Operated:

• PC and office equipment related to job duties