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ACO Care Manager- Social Worker

Franciscan Health
Greenwood, Indiana
Full-time

Sierra Drive Campus

1040 Sierra Dr Greenwood, Indiana 46143

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.

QUALIFICATIONS

Master's Degree- Social Work- Required

Licensed Social Worker (LSW)- Indiana- Required

Basic Life Support Program (BLS) American Heart Association- Required

3 Years- Patient Care- Required

3 Years- Social Work Experience- Required

TRAVEL IS REQUIRED : Never or Rarely

Never or Rarely

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

30+ days ago
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