Discharge & Care Coordination Social Worker

AdventHealth; Orlando (FL); On-site; USD 30,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, Vision 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

Job summary

AdventHealth in Orlando, FL seeks a dedicated Care Manager to advocate for patients and families, coordinate discharge planning, and ensure smooth transitions across inpatient, observation, and emergency departments. You will assess needs, educate patients, and mobilize community resources to support post-acute care decisions.

The role emphasizes collaboration with multidisciplinary teams, timely care progression, and empowerment of patients and families to participate in decision-making and

Qualifications

• Excellent interpersonal communication and negotiation skills [Required]
• Critical thinking and problem-solving skills [Required]
• Customer service skills [Required]
• Ability to work with diverse backgrounds; adaptable to change [Required]
• Effective organizational skills [Required]
• Computer proficiency with Outlook e-mail and electronic medical records [Required]
• Flexible in a complex healthcare environment [Required]
• Understanding of pre-acute and post-acute care venues and community resources [Required]
• Knowledge of local services for patients with limited payment resources [Required]
• Psychosocial assessment and interventions [Required]
• Assess psychosocial risk factors and support systems [Required]
• Interventions for emotional, social, financial impacts of illness [Required]
• End-of-life information and counseling [Required]
• Grief counseling and crisis intervention skills [Required]
• Advocacy for patient empowerment and independence [Required]
• De-escalation services for patients [Required]
• Motivational Interviewing for substance use disorders [Required]
• Education to patients/families/caregivers about resources [Required]
• Knowledge of discharge planning and utilization management [Preferred]
• Knowledge of state/federal guidelines for Care Management [Preferred]

Responsibilities

• Advocate for patient and family empowerment and informed health decisions [Required]
• Coordinate discharge planning and post-acute care arrangements [Required]
• Assess readmission risks and plan timely care transitions [Required]
• Collaborate with multidisciplinary teams to ensure continuity of care [Required]

Skills

Interpersonal communication

Negotiation skills

Critical thinking

Problem-solving

Customer service

Cultural sensitivity

Organizational skills

Outlook proficiency

EMR knowledge

Flexibility

Pre- and post-acute knowledge

Discharge planning

Family/patient advocacy

Education to patients/families

Education

Bachelor's in Social Work (BSW)

Master's in Social Work (MSW)

Tools

Outlook

Electronic Medical Records (EMR)

Job description

AdventHealth in Orlando, FL seeks a dedicated Care Manager to advocate for patients and families, coordinate discharge planning, and ensure smooth transitions across inpatient, observation, and emergency departments. You will assess needs, educate patients, and mobilize community resources to support post-acute care decisions.

The role emphasizes collaboration with multidisciplinary teams, timely care progression, and empowerment of patients and families to participate in decision-making and