Discharge & Care Coordination Social Worker

AdventHealth; Sebring (FL); On-site; USD 29,000 - 54,000; Full time

Job summary

AdventHealth in Sebring, FL seeks a Care Manager with strong psychosocial assessment skills to advocate for patients and coordinate post-acute care. You will assess needs, liaise with families, and plan discharges to ensure timely care and resource access.

The role emphasizes collaboration with hospital and community services, with a focus on empowering patients and families in decision-making.

Qualifications

• Excellent interpersonal communication and negotiation skills.
• Critical thinking and problem-solving abilities.
• Customer service mindset across diverse backgrounds.
• Organizational skills and attention to detail.
• Computer proficiency with Outlook and electronic medical records.
• Flexibility in a complex healthcare environment.
• Knowledge of pre-acute and post-acute care venues and community resources.
• Understanding of discharge planning and community resources.
• Ability to educate patients and families on options and resources.

Responsibilities

• Provides patient and family advocacy during hospitalization and supports patient rights.
• Documents discharge planning evaluation and progression of care.
• Reviews medical records and integrates clinical, social, and financial factors.
• Develops discharge plans with contingency plans for timely care coordination.
• Communicates with post-acute services to ensure continuity of care.
• Participates in multi-disciplinary rounds to review patient status and discharge plans.
• Educates patients and families on emotional, social, and financial impacts.
• Leverages community resources to meet identified needs and empower families.

Education

Bachelor's degree

Master's degree preferred

Field of Study: Social Work

Tools

Outlook/EMR

Job description

AdventHealth in Sebring, FL seeks a Care Manager with strong psychosocial assessment skills to advocate for patients and coordinate post-acute care. You will assess needs, liaise with families, and plan discharges to ensure timely care and resource access.

The role emphasizes collaboration with hospital and community services, with a focus on empowering patients and families in decision-making.