Complex Case LCSW

About the role

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.

Responsibilities

• Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
• Affirms readmitted patients for the patient’s and family’s perceived reasons for the readmission.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
• Provides patient and family advocacy, and support patient’s choice and patient rights during hospitalization.
• Communicates with Payors patient’s needs for authorization for post-acute care as needed.
• 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’ wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
• Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
• Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
• Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.

Qualifications

• Knowledge of state and federal guidelines pertinent to Care Management
• Ability to identify appropriate community resources and to work collaboratively with patients, families, multidisciplinary team and community agencies to achieve desired patient outcomes
• Ability to act in an autonomous, self-directed manner while maintaining the ability to collaborate with other members of the team
• Ability to utilize in-house and external resources
• Flexibility in prioritization
• Ability to analyze complex technical data and complex interpersonal dynamics in brief time
• Ability to utilize stress management techniques effectively
• Ability to adapt to cultural, ethnic and religious diversity
• Skill in utilizing Microsoft Word and Outlook tools
• Skills in advocacy
• Diagnose and provide psychotherapy to children and adults with behavioral health disorders
• Ability to gather individual patient assessment data, including individualized treatment plans, and referrals
• Ability to analyze and assess data, techniques, methodology, equipment operations, and quality control to ensure that information is obtained and presented accurately
• Master's in Social Work (MSW)
• Field Of Study N/A
• Work Experience 4+ years experience in social work
• Experience in Care Management [Preferred]

Benefits

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance, Paid Time Off from Day One, 403-B Retirement Plan, Whole Person Well-being Resources, Mental Health Resources and Support, Pet Benefits

Pay

$29.57 - $55.01

Schedule

Full time Shift Day (United States of America)

Contact Information

Address: 6061 S Willow Dr, Greenwood Village, CO 80111