Lead Care Management MSW

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits , with a whole-person approach to wellness –

• Lifestyle Engagement
• e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability
• e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary

The Lead Care Management MSW provides quality psychosocial care to patients and coordinates care with the medical team while consistently applying the social work code of ethics. Through the coordination of care, conducts a thorough assessment of the patient’s needs. Understands the medical plan of care, coping abilities, and barriers to care. Implements interventions and/or provides resources

The Lead Care Management MSW is responsible for coordination of multiple disciplines and resources to facilitate transition of the patient to the appropriate level on the continuum of care. Develops a plan of care to ensure the highest quality care with the best outcomes for the patient in the most cost-effective manner. Integrates decisions of committees into the operation and activities of the department.

The Lead Care Management MSW is also responsible for measuring, monitoring, organizing, and supervising a group of Social Work Care Managers to achieve goals that contribute to the growth of the group and organization. The Lead Care Management MSW motivates and inspires their team by creating an environment that promotes positive, professional, and transparent communication, encourages bonding of team members, and demonstrates flexibility.

Working effectively with the interdisciplinary team, the Lead Care Management MSW will promote interdisciplinary communication and provide support to the care management staff in leveraging other ancillary service lines to meet the needs of the patient. The team lead will provide direction to staff in developing effective caseload management techniques to maintain timely service to clients and coordinate work assignments, setting priorities, and directing/guiding work of team-members. The team lead will work with leadership and team members to analyze and recommend change to clinical processes and procedures to increase efficiencies in the department and act as reference/expert for the team through professional development, clinical expertise in process flow and standard work, and aligning to the vision of the leadership team. The Lead Care Management MSW Lead will work to foster and maintain a climate of an empowered care management aligning other disciplines and leadership on the role(s) of all disciplines within the team and advising and supervising clinical operations including escalations to leadership and ensuring compliance with standards of care, care manager code of conduct, and clinical/administrative procedures.

Job Description

Schedule

Monday - Friday

7:30am - 4:00pm

KEY ACCOUNTABILITIES

• Core job functions listed in order of importance (should include no more than 8-10 statements)

Identifies patients with complex care needs, conducts patient psychosocial status assessment, establishes a rapport with patient/family, and actively participates in creating and implementing a plan of care to achieve outcomes. Utilizes effective oral and written communication skills to collaborate with the health care team as needed to enhance quality and care. Develops psychosocial plan of intervention for the patient and family utilizing resources within the community. Incorporates social, emotional, financial, and spiritual aspects of care into the patient’s plan. Evaluates progress toward outcomes/goals for individual plan for patient and modifies plan as appropriate. Serves as a consultant, patient advocate, and liaison for patients and families in areas of social work needs and complex psychosocial issues that could include facilitation of specialty-specific psychoeducational support groups in some care settings. Arranges for resources/funds to obtain medications, DME, housing, transportation, and other needed services. Facilitates appropriate and prompt access to primary care providers, physician specialists, and similar services as necessary. Coordinates patient information and communication between and among the patient/family and the referring/accepting facilities, and communicates to caregivers as applicable to ensure smooth transition of care. Advocates for the patient and performs discharge planning/after care coordination. Supports efforts to decrease hospital readmissions when possible and returns patient to the community with appropriate resources. Facilitates advanced care planning and lifespan planning. Collaborates with multiple disciplines to effectively and efficiently provide patient care and achieve the desired patient outcomes. Applies critical thinking to assess, plan, and implement day-to-day operations, and communicates updates to team members. Delegates team member duties in relation to patient needs, and manage evolving demands from team members, physicians, equipment, and scheduling. Manages call schedule, revenue and usage audits, and meeting minutes, and is a super user with department diagnostic equipment and supplies.

ADDITIONAL CORE REQUIREMENTS

Values Based Leader - Is an individual who demonstrates leadership that is consistent with the LifeInspired movement that incorporates ThedaCare’s mission, vision, values, principles and promise to our patients. Embodies the values and principles of compassion, leadership, excellence, innovation, and agility.

Credibility - Is an experienced leader with a big picture view and a track record of accomplishments and results with the appropriate urgency.

Synergistic Team Player - Possess strong relationship building skills that synergizes with peers, colleagues in senior management, other team members, board, employees, corporate and the community. An individual who genuinely enjoys working with others in a team-based environment. Viewed as a teacher always looking for root cause diagnosis, learning and interventions that last.

Passion for Core Mission - Creates an environment that nurtures integrity in others and self. Adept at inspiring and promoting our mission of improving the health and well-being of our communities by empowering each person to live their unique best life.

Servant Leadership - Leads with purpose; has personal direction and is not easily sidetracked by details and workload. Demonstrates strong commitment to the success of the organization, and is willing to make personal sacrifices to contribute to that success. Tells the truth and is described by others as honest; consistently takes responsibility for his/her actions. Handles criticism effectively; does not act threatened or get overly defensive when others are critical or provide feedback. Pursues, responds to and uses feedback. Is a willing and patient listener and is open to feedback. Genuinely cares about people; is concerned about their work and non-work problems.

Strategic Agility and Innovation- Effectively uses complex mental processes. Is skilled at analyzing problems and

making clear decisions. Is skilled at problem identification. Is insightful; sees things from new angles. Intellectually sharp, capable and agile. Balances short-term payoff with long-term improvement. Embraces flexibility and new ideas, generates

new ideas and creates innovative solutions. Adjusts to change easily. Thinks "out of the box." Learns quickly when facing

new problems. Maintains and fosters in others an understanding of the business environment as well as an awareness of economic, religious, social and political trends that may impact the organization.

Bias for Action - Is adept at planning, implementing and evaluating. Can marshal resources (people, funding, material support) to get things done. Makes tough decisions in a timely manner. Adept at taking risks. Visionary; seizes new opportunities and consistently generates new ideas. Introduces and creates needed change even in the face of opposition. Has the courage to take a stand when others disagree, go against the status quo and persevere in the face of opposition. Knows how to get things done both through formal channels and the informal network.

Developing Others - Uses effective listening skills and communication to involve others, build consensus and influence others. Effectively develops others by generating their commitment to goals, entrusting them with decision-making and creating structures to enable them to accomplish their work. Effectively delegates responsibility and allows employees the freedom to learn from their experiences. Coaches and encourages employees to develop in their careers. Gets factions

with competing perspectives to learn from one another. Creates leaders able to carry forth mission.

Leading Change - Ensures that all team members in the organization clearly understand the overall strategic imperative driving change for their specific group and for the organization as a whole. Ensures that all team members understand how change impacts them and know what they can do to improve their ability to be successful during nonstop change. Ensures that all team members understand the difference between change and transition, and know how to get themselves through transition on an ongoing basis. Links and engages all levels of leadership in the organization to ensure the entire organization embraces the short-, medium- and long-term strategy both in times of prosperity and crisis. Must embrace and personalize the LifeInspired movement, our values and principles of the organization.

Leading Transition - Creates the conditions for a culture that demonstrates responsive awareness and purposeful flexibility so that the organization can be effective in its transition. Continuously links all the changes to the current strategic initiatives that will result in the realization of the overall strategic direction. Owns the communication flow for the changes and continually finds ways to improve the inflow and outflow of change related information throughout the organization. Intentionally leads individuals, teams and the organization through the transition the changes are creating. Creates a culture of hope in the uncertain reality of transition.

Coach and Leader - Has successfully, through an empowering team approach, built a strong, customer focused team of directors, managers and employees that executives, operations managers and other team members like to work with and seek out for advice and counsel. It is a values-based approach where one “rolls up his/her sleeves” expecting high performance and accountability from all members of the team. Becomes a teacher of others highlighting exceptional performance and learnings from both favorable and unfavorable outcomes.