Lafayette, Indiana
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Posted: 13-Sep-23
Location: Tavares, Florida
Salary: Open
Categories:
Internal Number: 23024344
Description
All the benefits and perks you need for you and your family:
- Benefits and Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
Our promise to you:
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. All while understanding that together we are even better.
Schedule: Full-Time
Shift: Days - 8a-5p, no weekends, no nights//holidays, no on call.
The community you’ll be caring for: 1000 WATERMAN WAY, Tavares, FL 32778 - 75% travel.
The role you’ll contribute: Coordinates appropriate social work and case management services to patients and their immediate families. Serves as the client advocate and assists in the care coordination process after hospital discharge. Adheres to facility corporate compliance Plan and to all rules and regulations of all applicable local, state and federal agencies, and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team
- Hospital screening for new patients.
- Teaching patients how to be self-reliant and use community resources to stay well.
- Assess mental and social barriers
- Identify social determinants of health, bridge those gaps, and mental health capability.
- Assess and individualize patient plan of care.
- Promotes efficient utilization of healthcare services at the most appropriate level of care as determined by professional standards
- Establishes and maintains methods of communications with referring and supporting health care individuals.
- Facilitates patient’s movement through the program by providing proactive planning and creating solutions to facilitate seamless care. Advocates for patients’ ongoing and discharge needs
- Coordinates contact and refers to appropriate agencies, services and resources to set up for patients’ post-discharge needs including durable medical equipment and follow-up care
- Documents accurately, completely, and timely.
- Participates in practice changes as a result of performance improvement activities and changes in health care practices. Supports quality standards and initiatives set by the department
- Willingly adjusts and adapts to changes in workload by altering working hours to assist in other areas as approved and observed by supervisor
- Practices principles of employee and patient safety when performing daily job activities.
- Complies with Facility Compliance Plan, rules and regulations of all local, state, and federal agencies, and with the standards of all accrediting bodies and payers as evident through documentation reviews, tracers and rounds results. Takes responsibility for the environment of care by monitoring and taking action as needed.
- Provides Coordination of Care across the care continuum including a manner consistent with safe, efficient and cost-effective resource utilization.
- Assists in the identification of patient populations needing care coordination
- Works with families and patients on needs that may or will affect the patientâ™s health, including all dimensions of the social determinants of health such as, transportation issues, financial concerns, end of life planning, etc. in all community settings such as: members home, primary medical home (PCP/FQHC) etc, to eliminate fragmentation, duplication or gaps in health care.
- Identifies potential barriers related to patientâ™s home setting and self-care/management needs.
- Maintains an active case load of âœat riskâ patients.
- Optimizes member independence through providing education and links to community resources
- Strong knowledge regarding Social Services and Care Management processes in preadmission, emergency department, outpatient/ambulatory services, and post-acute care services.
- Is responsible for providing crisis intervention and/or community linkage for patients and families who are experiencing significant emotional, social, environmental, or financial stress due to hospitalization, acute, chronic, or terminal illness and/or who need help in meeting their continuing care needs.
- Computer skills and experience with Microsoft Office programs, including Word, Excel, Outlook, and PowerPoint are required.
- Verbal and written skills necessary to effectively communicate with various members of the health care team, other health facilities, community health related organizations, various external parties and regulatory agencies.
- Ability to use office equipment such as telephone, personal computer, copier, fax machine, etc.
- Masterâ™s degree in Social Work from an Accredited university
- Driverâ™s license required.
- Licensed clinical social worker (LCSW)
- Florida licensure as applicable.
- Supervision of MSW intern
- Population health experience preferred
- Complex ambulatory care experience preferred
- 3 years of relevant work experience preferred
