Care Transition Social Worker

AdventHealth; Florida; On-site; USD 33,000 - 61,000; Full time

Job summary

AdventHealth Altamonte Springs in Florida is seeking a qualified care manager to support discharge planning and post-acute transitions. A Master’s degree is required, with 2+ years in care management or social work preferred.

This full-time, day-shift role involves assessing patient and family needs, developing safe discharge plans, coordinating post-acute services, and collaborating with a multidisciplinary team to ensure timely, quality care.

Qualifications

• Excellent interpersonal communication and negotiation skills.
• Critical thinking and problem-solving abilities.
• Psychosocial assessment skills.
• Customer service skills.
• Ability to work with people from diverse backgrounds; flexible and adaptable.
• Strong organizational skills.
• Flexible in a complex healthcare environment.
• Understanding of pre-acute and post-acute care resources.

Responsibilities

• Provides discharge planning support and transition-of-care services for patients.
• Assesses patients and families holistically for discharge needs and post-acute care planning.
• Reviews medical records and coordinates with care teams to optimize discharge planning.
• Develops discharge plans with contingency arrangements for timely care progression.
• Utilizes standards and technology to communicate with post-acute services for continuity of care.

Skills

Interpersonal skills

Negotiation

Critical thinking

Problem-solving

Psychosocial assessment

Customer service

Cultural sensitivity

Organizational skills

Education

Master's degree

Job description

AdventHealth Altamonte Springs in Florida is seeking a qualified care manager to support discharge planning and post-acute transitions. A Master’s degree is required, with 2+ years in care management or social work preferred.

This full-time, day-shift role involves assessing patient and family needs, developing safe discharge plans, coordinating post-acute services, and collaborating with a multidisciplinary team to ensure timely, quality care.