Social Worker: Home & Facility Care Coordinator

Your Health Organization; Blair (SC); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive compensation with bonus

401K with employer match

HDHP + prescriptive services

Employer matched HSA

Generous PTO

Job summary

Your Health Organization in the Columbia area is seeking a qualified Social Worker to assist patients across multiple facilities and homes. The role involves visiting patients in their homes and facilities, with daily travel required, and works full-time from 8am to 5pm.

The Social Worker will initiate advance care planning, complete assessments and care plans, document Chronic Care Management, and coordinate discharges and placements while maintaining strong relationships with referral sources,

Responsibilities

• Initiating Advance Care Planning for patients throughout their assigned Care Team (including facilities).
• Completing Daily Comprehensive Assessments on patients.
• Completing Daily Care Plans on patients.
• Documenting Chronic Care Management time daily.
• Meeting Daily Productivity Goals.
• Coordinating discharges at contracted facilities.
• Coordinating Placement.
• Continuation of coverage (i.e. coordinating acute visits for falls, med changes, etc.).
• Build and maintain professional relationships with referral sources.
• Maintain strong communication and professionalism between referral sources, patients/families, and Care Teams.

Skills

Social Work

Patient Advocacy

Care Coordination

Job description

Your Health Organization in the Columbia area is seeking a qualified Social Worker to assist patients across multiple facilities and homes. The role involves visiting patients in their homes and facilities, with daily travel required, and works full-time from 8am to 5pm.

The Social Worker will initiate advance care planning, complete assessments and care plans, document Chronic Care Management, and coordinate discharges and placements while maintaining strong relationships with referral sources,