Social Worker: Home & Facility Care Coordinator

Your Health Organization; Sumter (SC); On-site; USD 52,000 - 66,000; Full time

Benefits offered by this job

Competitive compensation

Bonus opportunities

401K match

Free visits

HDHP plan

HSA match

Generous PTO

Job summary

Your Health Organization in Sumter, SC is seeking a qualified Social Worker to support patients across facilities and homes in the area. The role requires compassion, strong customer service, and the ability to coordinate care across multiple teams.

Responsibilities include Advance Care Planning, daily assessments and care plans, documenting time, coordinating discharges and placements, and building relationships with referral sources.

Qualifications

• Qualified Social Worker with compassionate patient care.
• Willing to travel daily within Sumter area.
• Experience with care planning and chronic care management preferred.

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

Compassionate care

Customer service

Communication skills

Job description

Your Health Organization in Sumter, SC is seeking a qualified Social Worker to support patients across facilities and homes in the area. The role requires compassion, strong customer service, and the ability to coordinate care across multiple teams.

Responsibilities include Advance Care Planning, daily assessments and care plans, documenting time, coordinating discharges and placements, and building relationships with referral sources.