Social Worker & Care Coordinator - Home & Facility Visits

Your Health Organization; Florence (SC); On-site; USD 48,000 - 68,000; Full time

Benefits offered by this job

Bonus opportunities

401K matching

HDHP health plan

HSA matching

Generous PTO

Job summary

Your Health Organization in Florence, SC is seeking a Social Worker to support patients across facilities and homes. This full-time role involves visiting patients in their homes and care facilities, performing advance care planning, cognitive assessments, and coordinating resources as part of a dedicated care team.

Daily travel is required and shifts run 8 hours, Monday through Friday, 8am–5pm. The Social Worker will build and maintain relationships with referral sources, families, and care

Qualifications

• Social worker required to assist patients across facilities and homes.
• Will perform advance care planning and cognitive assessments.
• Travel daily to assigned service area; reliable transportation required.
• Strong communication with referral sources, patients, families, and care teams.

Responsibilities

• Initiate Advance Care Planning for patients throughout Care Team.
• Complete Daily Comprehensive Assessments.
• Develop Daily Care Plans for patients.
• Document Chronic Care Management time daily.
• Meet Daily Productivity Goals.
• Coordinate discharges at contracted facilities.
• Coordinate Placement.
• Coordinate acute visits as needed.
• Build relationships with referral sources.
• Maintain communication between referral sources, patients, families, and Care Teams.

Skills

Advance Care Planning

Daily Assessments

Care Planning

Discharge Coordination

Communication Skills

Education

Bachelor's in Social Work

Job description

Your Health Organization in Florence, SC is seeking a Social Worker to support patients across facilities and homes. This full-time role involves visiting patients in their homes and care facilities, performing advance care planning, cognitive assessments, and coordinating resources as part of a dedicated care team.

Daily travel is required and shifts run 8 hours, Monday through Friday, 8am–5pm. The Social Worker will build and maintain relationships with referral sources, families, and care