Social Worker Case Management at AdventHealth

Date Posted: 1/15/2020

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Tavares, FL
  • Job Category
  • Date Posted:
    1/15/2020
  • Job ID:
    20000232
  • Job Family
    Case Management
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Waterman

Job Description


Description
Social Worker BSW AdventHealth Waterman
Location Address: 1000 Waterman Way, Tavares, FL

Top Reasons to Work at AdventHealth Waterman
Immediate Health Insurance Coverage

Great benefits such as: Educational Reimbursement

Career growth and advancement potential

Work Hours/Shift:
FT / Day
You Will Be Responsible For:
  • Assesses, coordinates and completes discharge planning for assigned patients facilitating a timely and safe discharge.  Coordinates with the RN case manager.
  • Meets with patients and/or families to discuss realistic and appropriate discharge options. Considers the unique physical, psychosocial, and financial needs of the patient.  Anticipates and/or identifies barriers to discharge.
  • Identifies possible situations of abuse, neglect or exploitation, making call to abuse registry if appropriate.
  • Demonstrates and encourages positive interpersonal relations with the patient/family, physicians, community agencies, and other members of the health care team.  Maintains open communication.
  • Performs discharge planning/post-acute care coordination to include:
  1. Acute rehabilitation placements
  2. New nursing home or skilled nursing placement
  3. Psychiatric or substance abuse placements
  4. New dialysis
  5. Acute care transfers
  6. Abuse cases
  7. Hospice referrals and placements
  8. Legal issues: adoptions and guardianship cases in collaboration with leal counsel
  9. Assistance with Advance Directives as necessary
  10. Community Resource needs
  11. Financial issues/funding for post-acute needs/identifying Medicaid eligibility cases with appropriate referrals
  • Effectively utilizes internal/external resources for discharge assessment and planning. 
  • Participates in weekly unit interdisciplinary discharge meetings (ICPC) and LOS meetings for complex patients.
  • Documents clear/concise discharge assessments/plans in patient’s electronic medical record via Cerner Care Manager.
  • Documents discharge resources, avoidable delays and other relevant information for purposes of tracking/trending.
  • Manages time and resources effectively to assure required tasks are completed in the most efficient, cost-effective manner.

Qualifications
What You Will Need:
  • Baccalaureate degree in social work with minimum 1-3 years of care management/discharge planning experience in the health care setting.  Related work acceptable.
  • Position requires excellent assessment, critical thinking, and problem solving and effective verbal/written communications. 
  • Computer proficiency required to perform/complete work assignments including the electronic medical record, Care Manager, and Outlook e-mail/calendar management
  • Master’s in social work preferred
  • Acute hospital experience preferred
  • Case Management certification highly desirable – ACM (accredited case manager), CCM (certified case manager) preferred
  • Position requires excellent assessment, critical thinking, and problem solving and effective verbal/written communications. 
  • Computer proficiency required to perform/complete work assignments including the electronic medical record, Care Manager, and Outlook e-mail/calendar management
  • Exhibits organizational skills, flexibility, and teamwork.
  • Ability to function in a stressful and fast paced environment
  • Ability to multitask.  Ability to analyze complex technical data and complex interpersonal dynamics in a brief time
  • Provides necessary coverage and assistance with other duties within the department when needed.
  • Proficiency in the daily use of standard office equipment such as computer, phone, fax, copier, etc.
GENERAL SUMMARY:

Under the general supervision of the Director and/or supervisor of Case Management, in collaboration with the RN Case Manager, works with the patient/family, physicians, interdisciplinary team and external agencies.  The Social Worker ensures the patient’s progress along the continuum in an efficient and cost-effective manner.  Utilizes expertise in patient/family assessment incorporating physical, psycho-social, environmental, spiritual, and financial factors to create a sound discharge plan to ensure proper patient placement across the healthcare continuum and to maximize capacity.


The social worker is responsible for identifying and initiating the most efficient discharge plan to expedite the patient transition to the next appropriate level of care and to reduce length of stay.  Provides support and crisis intervention for patients and significant others in relation to such issues as domestic violence, advanced care planning, adoption, financial resourcing.  Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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