Care Coordinator, Acute Social Worker - Care Management

Orlando Health • Orlando, FL

453d

About The Position

The Care Coordinator, Social Worker II at Orlando Health Winnie Palmer Hospital for Women & Babies is responsible for collaborating with clinical teams to provide care coordination services. This role focuses on assessing patients' risk factors, managing clinical utilization, and ensuring continuity of care across various settings, including inpatient and outpatient services. The position emphasizes the importance of effective discharge planning and follow-up care, particularly for patients at high risk of complications or readmissions.

Requirements

• Bachelor's degree in Social Work, Psychology, Sociology, or a related field.
• One year of direct clinical experience with an emphasis on the population served or a completed internship in healthcare.

Responsibilities

• Lead the continuity and consistency of care across inpatient, emergency, and outpatient settings.
• Develop effective working relationships with the Care Management Team to engage patients and families in their care.
• Monitor progress towards discharge plans and adjust as necessary based on patient condition or family needs.
• Educate patients and families about evidence-based standards of care and self-management strategies.
• Identify support needs for patients and families, developing action plans to address them.
• Facilitate access to prescriptions, durable medical equipment, and other necessary services.
• Contribute to team problem-solving through communication, collaboration, and data collection.
• Advocate for patients to optimize their healthcare needs, including safety and financial well-being.
• Refer patients to educational resources and community services as appropriate.
• Utilize IT resources to improve disease outcome measures and maintain patient populations.
• Participate in clinical outcome measurement and promote population health strategies.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree