Care Management Social Worker

Benefits

• Medical, Dental, Vision Insurance
• Life Insurance
• Disability Insurance
• Paid Time Off from Day One
• 403‑B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well‑being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Part‑time, Day shift (United States of America)

Job Description

• Provides grief counseling, disease adjustment support, crisis intervention, goals of care planning support, and de‑escalation services for patients as appropriate.
• Assesses patients and families holistically for discharge planning needs in inpatient, observation, and emergency departments, including prior functioning, support systems, financial, and psychosocial factors to avoid delays.
• Reviews medical records (medications, history and physical, labs, progress notes) and incorporates clinical, social, and financial factors into transition of care plans.
• Develops discharge plans with contingency plans throughout the hospital stay, arranging post‑acute care services, facilities, and community care for social needs.
• Leverages technology and follows standard work to communicate with post‑acute care services and facilities, ensuring continuity of care, complete medical records, and accurate discharge reconciliation.
• Participates in multidisciplinary rounds to review patient status, progression, level of care, and discharge plans, identifying resources and escalating care delays to leadership as needed.
• Educates patients and families about emotional, social, and financial impacts of illness, mobilizing family/community resources and advocating for patient and family empowerment.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, multidisciplinary rounds notes, barriers to progression, avoidable days, and patient/family needs according to standard work.
• Provides patient and family advocacy, supporting patient choice and rights during hospitalization.
• Communicates with payors for authorization of post‑acute care as needed.
• Assesses readmitted patients for perceived reasons for readmission.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities

• Excellent interpersonal communication and negotiation skills (Required)
• Critical thinking and problem‑solving skills (Required)
• Psychosocial assessment skills (Required)
• Customer service skills (Required)
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; flexible, open‑minded, and adaptable to change (Required)
• Effective organizational skills (Required)
• Computer proficiency with Outlook email and electronic medical records (Required)
• Flexibility in a complex and changing healthcare environment (Required)
• Understanding of pre‑acute and post‑acute venues of care and community resources (Required)
• Current knowledge of local community services, especially for patients with limited payment resources (Required)
• Strong interview, assessment, and organizational skills (Required)
• Leadership skills (Required)
• Data analysis skills (Required)
• Current working knowledge of discharge planning, utilization management, care management, performance improvement, and managed care reimbursement (Preferred)
• Knowledge of state and federal guidelines pertinent to Care Management (Preferred)
• Ability to identify appropriate community resources and collaborate with patients, families, multidisciplinary team, and community agencies to achieve desired outcomes (Preferred)

Education

Master’s degree (Required)

Licenses and Certifications

• Accredited Case Manager (ACM) – Preferred
• Certified Case Manager (CCM) – Preferred

Pay Range

$23.94 – $44.53

Physical Requirements

Physical Requirements

Additional Information

Additional licensure or certification requirements may apply depending on the specific unit or state. Please consult the relevant credential grid for detailed information regarding these requirements.

Background screening for Florida Level 2 positions includes fingerprinting as required by state law. More information is available at the Florida Care Provider Background Screening Clearinghouse.