Care Management Social Worker

1103 Team Member Services; United States; On-site; USD 50,000 - 93,000; Full time

Job summary

AdventHealth in Ocala, FL seeks a licensed social worker to manage discharge planning and transitions of care for inpatients, with a focus on timely, coordinated services. You will assess needs, coordinate resources, and support families through a holistic approach.

The role requires a Master’s in social work, 2+ years of experience, and active LCSW/LMHC licenses. Salary ranges and full-time hours are provided by the facility.

Qualifications

• Master's in social work required.
• 2+ years of social work experience required.
• LCSW and LMHC licenses required.

Responsibilities

• Assess discharge planning needs for inpatient, observation, and ED patients.
• Review medical records and coordinate post-acute care transitions.
• Develop discharge plans with contingency arrangements and ensure timely care.
• Communicate with post-acute services and payors for authorizations as needed.
• Participate in multidisciplinary rounds to align care and discharge plans.
• Advocate for patients and families, addressing emotional, social, and financial needs.

Skills

Discharge planning

Multidisciplinary collaboration

Patient advocacy

Education

Master's in social work

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family:

Benefits from Day One:

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits

Schedule:

Full time Shift: Day (United States of America) Address: 1500 SW 1ST AVE City: OCALA State: Florida Postal Code: 34471

Job Description:

Schedule: 8AM - 6:30PM weekdays and every other weekend

Assesses patients’ and families’ wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.

Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.

Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.

Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.

Communicates with Payors patient’s needs for authorization for post-acute care as needed.

Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.

Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.

Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission.

Organizes and facilitates patient and family care conferences with the multidisciplinary team.

Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.

Provides patient and family advocacy, and support patient’s choice and patient rights during hospitalization.

Other duties as assigned.

Education:

• Master's in social work [Required]

Work Experience:

• 2+ social work [Required]

Licenses and Certifications:

• Clinical Social Worker License (LCSW) [Required]
• Licensed Mental Health Counselor (LMHC) [Required]

Physical Requirements:

(Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$49,795.20 - $92,622.40

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.