MSW Social Services Case Manager — Care Coordination

Memorial Healthcare System; Florida; On-site; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System is seeking a qualified social worker to collaborate with physicians, nurses, and the care team to plan and manage patient care from admission to discharge. You will monitor progress, address patient and family needs, and coordinate post-acute arrangements with agencies and services.

The role emphasizes discharge planning, collaboration, and crisis intervention when needed. Florida licensure is preferred, with strong emphasis on patient-centered care.

Qualifications

• Master’s degree in Social Work is required.
• Licensed Clinical Social Worker license in Florida is preferred.
• JDCH-specific: LCSW license required for Dialysis, Transplant, CF, and emergency mental status exams.

Responsibilities

• Collaborate with physicians, nurses, and multidisciplinary team to develop a plan of care from admission through discharge.
• Ensure patient progress through assessments and evaluations to desired outcomes.
• Assess and respond to patient/family needs by coordinating efforts of care team.
• Identify and resolve barriers hindering effective patient care.
• Collaborate with governmental agencies to ensure safe post-acute care.
• Participate in discharge planning including transfers and community resource coordination.
• Work with patients/families to navigate the healthcare system and insurance plans.
• Organize and facilitate care conferences with patients, families, and care team.
• Assess and initiate crisis interventions when necessary.

Skills

Team Work

Discharge Planning

Analysis & Decision Making

Patient & Family Centered Care

Accountability

Collaboration

Education

Master’s: Social Work

Licensed Clinical Social Worker (preferred)

Job description

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary

Collaborates with physicians, nurses, and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and evaluations. Assesses and responds to patient/family needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. NOTE: This is not a Nursing position.

Responsibilities

Collaborates with the interdisciplinary team and consults with nursing staff to regularly evaluate the patient's current and ongoing needs.Collaborates closely with governmental agencies (such as DCF, APS, CMS, and KePro) to ensure safe post-acute care.Participates in discharge planning including coordinating patient transfers to other facilities and coordination of community.Works with patients/families to navigate through the healthcare system (post-acute choices, insurance plans, etc.) to coordinate.Organizes and facilities care conferences with patients, families, representatives, and other members of the care team.Assesses and initiates crisis interventions and baker act if necessary.

Competencies

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, ANALYSIS AND DECISION MAKING - IT, CLINICAL POLICIES AND STANDARDS, CUSTOMER SERVICE, DEVELOPS RELATIONSHIPS, DISCHARGE PLANNING CLINICAL EFFECTIVENESS, INTAKE - BEHAVIORAL HEALTH, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK

Education And Certification Requirements

Masters: Social Work (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS)

Additional Job Information

Complexity of Work: This role requires critical thinking skills, effective communication, decisive judgment, and the ability to build and foster positive relationships. The incumbent must be able to lead others and take appropriate action when required. Required Work Experience: One (1) year of related work experience is preferred. This can be paid or via internship. Other Information: Additional Education Info: Master's degree in Psychology, Mental Health, Marriage and Family, and/or related social services field.Licensed Clinical Social Worker in Florida is preferred.JDCH Specific: Licensed Clinical Social Worker license is required for the following areas: Dialysis, Transplant, Cystic Fibrosis and mental status exams in the Emergency Department.

Working Conditions And Physical Requirements

• Bending and Stooping = 80%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 60%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 40%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 80%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 60%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 80%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 60%
• Gas/Vapors/Fumes = 0%
• Hazardous Chemicals = 0%
• Hazardous Medication = 60%
• Latex = 80%
• Computer Monitor = 80%
• Domestic Animals = 40%
• Extreme Heat/Cold = 0%
• Fire Risk = 40%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 60%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 60%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 80%
  
  

Shift

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [e-mail]