Clinical Social Worker - Discharge & Care Planning

Catholic Health Services; Miami (FL); On-site; USD 52,000 - 75,000; Full time

Job summary

Catholic Health Services in Miami, FL seeks a Social Worker to coordinate and provide medically related social services for residents, aiming to maximize physical, mental, and psychosocial wellbeing. The role conducts psychosocial histories, PASRR reviews, education on rights and resources, and discharge planning with a multidisciplinary team.

Responsibilities include completing assessments (MDS/CAAs), documenting in clinical software, guiding residents and families through care plans, and

Qualifications

• MSW/BSW or BA in Human Services required.
• Minimum 1 year of supervised social work in healthcare.
• CPR certification required.
• Ability to read, write, and understand English.

Responsibilities

• Interviews new admissions to complete Psychosocial History and verifies demographics within 3 days of admission.
• Ensure PASRR assessment is completed on admission and level II if needed.
• Educates resident/family on rights, directives, resources, insurance, appeals, grievances and documents in software.
• Update Advance Directives and identify Guardian needs.
• Complete progress notes/assessments as required.
• Perform Resident Assessment Instrument process including MDS and Care Plans.
• Provide Care Plan invitations to residents/parties as applicable.
• Attend Care Plan meetings with interdisciplinary team.
• Conduct family conferences as needed.
• Counsel residents/families as needed.
• Coordinate abuse investigations with policy adherence and team.
• Adhere to Grievance policy with logs and documentation.
• Follow room-change policy with Nursing/Admissions.
• Initiate discharge instructions and related tasks.
• Discharge planning to community services and facilities as applicable.
• Obtain insurance authorizations for procedures/appointments/transport.
• Provide Medicare Non-Coverage notices and discharge documents.
• Follow appeals process and file timely documentation.
• Participate in daily management meetings about resident status and complaints.
• Obtain insurance recertifications; update billing software as needed.
• Enroll residents in Medicare programs when applicable.

Skills

MSW/BSW

English proficiency

CPR Certification

Computer software

Healthcare experience

Education

MSW

BSW

Bachelor’s in Human Services

Tools

Clinical software

PC literacy

Job description

Catholic Health Services in Miami, FL seeks a Social Worker to coordinate and provide medically related social services for residents, aiming to maximize physical, mental, and psychosocial wellbeing. The role conducts psychosocial histories, PASRR reviews, education on rights and resources, and discharge planning with a multidisciplinary team.

Responsibilities include completing assessments (MDS/CAAs), documenting in clinical software, guiding residents and families through care plans, and