Care Management Social Worker
AdventHealth · Ocala, FL · 1 wk ago
OTHR$23.71–$44.09/hrFull-time
About the role
Joining AdventHealth is about extending the healing ministry of Christ. We value the whole person, serving them physically, mentally, and spiritually.
Responsibilities
- Extends care to patients and families through grief counseling, disease adjustment support, crisis intervention, and goals of care planning support.
- Assesses patients' and families' needs for discharge planning, including prior functioning, support systems, financial, and psychosocial aspects.
- Develops discharge plans with contingency plans to ensure timely care coordination and progression of care, arranging for post-acute care services and facilities.
- Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities for continuity of care.
- Participates in multi-disciplinary rounds to review patient status, progression, and discharge plans, identifying resources necessary at discharge and ensuring a timely transition.
- Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness, mobilizing family/community resources to meet identified needs.
- Organizes and facilitates patient and family care conferences with the multidisciplinary team, documenting discharge planning evaluations, ongoing assessments, and discharge plans.
- Provides patient and family advocacy, supports patient choices and rights during hospitalization, and communicates with payors for authorization of post-acute care.
- Assesses readmitted patients for their perceived reasons for readmission and works collaboratively with patients, families, multidisciplinary teams, and community agencies to achieve desired patient outcomes.
Requirements
- Excellent interpersonal communication and negotiation skills
- Critical thinking and problem-solving skills
- Pychosocial assessment skills
- Customer service skills
- Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded, and adaptable to change
- Effective organizational skills
- Computer proficiency with Outlook e-mail and electronic medical records
- Flexible in a complex and changing healthcare environment
- Understanding of pre-acute and post-acute venues of care and post-acute community resources
- Maintains a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources
- Strong interview, assessment, and organizational skills
- Leadership skills
- Data analysis skills
- 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
Qualifications
- Master's degree
- 2+ years of care management experience
- 2+ years of social work experience
Skills
- Excellent interpersonal communication and negotiation skills
- Critical thinking and problem-solving skills
- Pychosocial assessment skills
- Customer service skills
- Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded, and adaptable to change
- Effective organizational skills
- Computer proficiency with Outlook e-mail and electronic medical records
- Flexible in a complex and changing healthcare environment
- Understanding of pre-acute and post-acute venues of care and post-acute community resources
- Maintains a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources
- Strong interview, assessment, and organizational skills
- Leadership skills
- Data analysis skills
- 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
Benefits
- Medical, Dental, Vision Insurance
- Life Insurance
- Disability Insurance
- Paid Time Off
- 403-B Retirement Plan
- 4 Weeks Paid Parental Leave
- Whole Person Well-being Resources
- Mental Health Resources and Support
- Pet Benefits
Schedule
- Full time
- Day shift
Pay
- $23.71 - $44.09 per hour