Behavioral Health Navigator

The University of Kansas Health System; Kansas City (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

The University of Kansas Health System is seeking an Inpatient Social Work Case Manager to assess psychosocial needs and coordinate post-hospital services for patients and families.

Responsibilities include psychosocial assessments, discharge planning, collaboration with the care team, family conferences, and timely documentation to ensure safe, patient-centered transitions to home or other care settings.

Qualifications

• Completes psychosocial assessments to inform discharge planning.
• Collaborates with the healthcare team to coordinate post-hospital care.
• Maintains licensure and adheres to regulatory requirements.
• Documents in patient records within 24 hours of contact.

Responsibilities

• Accepts responsibility and accountability for optimal outcomes within scope.
• Participates in interdisciplinary team meetings and family conferences.
• Advocates for patients and caregivers to access community services.
• Assists in discharge planning and post-hospital transition coordination.
• Documents communications and actions to ensure continuity of care.

Skills

Psychosocial assessment

Discharge planning

Care coordination

Interdisciplinary teamwork

Education

High School Graduate

Masters Social Work

Job description

The Inpatient Social Work Case Manager has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services post-hospitalization as established by the healthcare team and executed by the case manager. Responsible for the psychosocial assessment of patients, for post hospital discharge needs including home care, nursing home placement, durable medical equipment, financial assistance, counseling, and other community resources. Ensure appropriate decision makers are informed of and involved in treatment planning. Apply pertinent state and federal regulations regarding discharge planning and reporting requirements.

The Inpatient Social Work Case Manager identifies, monitors, and reports opportunities for quality and performance improvement to the appropriate department. The Social Work Case Manager takes an active role in performance improvement activities as it relates to their area of assignment.

Responsibilities and Essential Job Functions

• Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice. Follows policies, procedures, and standards; complies with Corporate Compliance program. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs job specific responsibilities and demonstrates accountability for own actions and decisions.
• Acquires and maintains knowledge and competence related to the expectations of their position and practices within their scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
• Completes psychosocial assessments of patient/family situations including social, psychological, emotional, financial and other related factors to facilitate patients return to the community.
• Identifies and utilizes all relevant information (medical/nursing needs, social work knowledge base, disease process, knowledge of community resources) to accurately and thoroughly assess the patient’s psychosocial situation.
• Evaluates psychosocial and medical/nursing information to determine an appropriate social service action/discharge plan.
• Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan/discharge plan.
• Participates in interdisciplinary team meetings as needed.
• Initiates and participates in family conference to determine psychosocial and discharge planning needs.
• Facilitates and participates in daily Interdisciplinary Care Coordination (ICC) Huddles by managing the daily meeting and providing relevant and discipline specific information to the entire healthcare team.
• Advocates on behalf of patients and caregivers for identification and access to services. Advocates for the protection of the patient's health, safety and rights. Ensures patient choice and consistently supports a patient centered environment.
• Provides supportive counseling to assist patients/families in adjusting to disability and illness, and for realistic planning for post hospital care.
• Demonstrates a caring, positive regard for others by clarity of speech, use of understandable terminology and utilizing active listening skills.
• Assures prudent utilization of all resources (fiscal, staff resources, environmental, equipment and services) by evaluating the options available. Demonstrates ability to balance cost and quality to assure the optimal clinical and financial outcomes.
• Documents appropriate information in the patient’s medical record to ensure communication of patients’ psychosocial needs for post hospital care.
• Documentation includes initial contact note and follow-up action plan.
• Documentation includes psychosocial assessment of patient/family including previous living situations.
• Documentation includes daily telephone calls and meetings with significant others and allied professionals.
• Documentation includes all family and/or discharge planning conferences.
• Documentation includes response to orders within 24 working hours.
• Contributes to the financial viability of hospitals.
• Works in partnership with RN Case Manager to insure timely patient discharge.
• Utilizes established procedures and appropriate resources in working with third party payors to ensure safe and timely discharge.
• Participates in the case management activities at assigned site/service.
• Attends workshops, conferences or seminars suggested by Manager.Completed the objectives identified on last performance appraisal.
• Identifies professional development needs and pursues educational opportunities.
• Participates on hospital task forces and committees.
• Attends and participates in department meetings.
• Acts as a preceptor for new team members.
• Assists in training of new team members.
• Seeks clinical supervision when needed.
• Demonstrates flexibility and teamwork among case management staff members.
• Assists peers in the event of fluctuating census.
• Provides coverage to other services as needed or as requested by Manager.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate
• Masters Social Work

Preferred Education and Experience

• Experience in a health care setting

Required Licensure and Certification

• Licensed Specialist Clinical Social Worker(LSCSW) - State Board of Behavioral Sciences LSCSW OR
• Licensed Masters Social Worker(LMSW) - State Board of Behavioral Sciences LMSW

Time Type:

Full time

Job Requisition ID:

R-53160

Important information for you to know as you apply:

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion .

The University of Kansas Health System

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3901 Rainbow Blvd., Kansas City, KS 66160, US 2330 Shawnee Mission Pkwy, Westwood, KS 66205, US 10710 Nall Ave, Overland Park, Kansas, US