Care Management Social Worker Nonexempt

AdventHealth•Orlando, FL

9d•Onsite

About The Position

The Care Management Social Worker provides grief counseling, disease adjustment support, crisis intervention, goals-of-care planning support, and de-escalation services as appropriate. The role assesses patients and families for discharge-planning needs in inpatient, observation, and emergency settings, considering prior functioning, support systems, financial circumstances, and psychosocial factors. It reviews medical records and incorporates clinical, social, and financial information into transition-of-care plans. The position develops discharge plans and contingency plans throughout the hospital stay, coordinates post-acute and community services, and uses technology and standard practices to support continuity of care and accurate discharge reconciliation. The social worker participates in multidisciplinary rounds, identifies discharge resources, escalates care delays, educates and advocates for patients and families, and organizes care conferences. The role documents assessments, plans, barriers, avoidable days, and patient and family needs; communicates with payors about authorization needs; and assesses readmitted patients’ and families’ perceptions of reasons for readmission. Other duties may be assigned. This is a full-time night position scheduled for 36 hours per week at 7727 Lake Underhill Road, Orlando, Florida. The pay range is $23.94–$44.53. Additional licensure or certification requirements may apply depending on the unit or state.

Requirements

Master’s degree required.
At least 2 years of social work experience required.
Excellent interpersonal communication and negotiation skills.
Critical-thinking and problem-solving skills.
Psychosocial assessment skills.
Customer-service skills.
Ability to work and communicate with people from all social, economic, and cultural backgrounds and to remain flexible, open-minded, and adaptable to change.
Effective organizational skills.
Computer proficiency with Outlook email and electronic medical records.
Flexibility in a complex and changing healthcare environment.
Understanding of pre-acute and post-acute care settings and post-acute community resources.
Current working knowledge of local community services, particularly services for patients with limited or no payment resources.
Strong interview, assessment, and organizational skills.
Leadership skills.
Data analysis skills.

Nice To Haves

At least 2 years of care management experience.
Current working knowledge of discharge planning, utilization management, care management, performance improvement, and managed care reimbursement.
Knowledge of state and federal guidelines pertinent to care management.
Ability to identify appropriate community resources and collaborate with patients, families, multidisciplinary teams, and community agencies to achieve desired patient outcomes.
Accredited Case Manager (ACM) certification.
Certified Case Manager (CCM) certification.

Responsibilities

Provide grief counseling, disease adjustment support, crisis intervention, goals-of-care planning support, and de-escalation services as appropriate.
Assess patients and families for discharge-planning needs in inpatient, observation, and emergency settings, including prior functioning, support systems, financial circumstances, and psychosocial needs.
Review medical records and incorporate clinical, social, and financial factors into transition-of-care plans.
Develop discharge plans and contingency plans throughout the hospital stay.
Arrange post-acute care services and facilities, as well as community care for social needs.
Communicate with post-acute care services and facilities to support continuity of care, complete medical records, and accurate discharge reconciliation.
Participate in multidisciplinary rounds to review patient status, progression, level of care, and discharge plans; identify resources and escalate care delays as appropriate.
Communicate with and educate patients and families about emotional, social, and financial impacts of illness; mobilize family and community resources and advocate for patient and family empowerment.
Organize and facilitate patient and family care conferences with the multidisciplinary team.
Document discharge-planning evaluations, ongoing assessments, discharge plans, multidisciplinary rounds, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
Provide patient and family advocacy and support patient choice and rights during hospitalization.
Communicate patients’ post-acute care authorization needs to payors as needed.
Assess readmitted patients regarding the patient’s and family’s perceived reasons for readmission.
Perform other duties as assigned.