Our promise to you:

Continuing your journey with AdventHealth is about being part of something bigger. Its 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.

All the benefits and perks you need for you and your family:

• Benefits from Day One: 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

Job Description:

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. Assesses readmitted patients for the patients and familys 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 patients choice and patient rights during hospitalization. Communicates with Payors patients 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. Other duties as assigned.

Knowledge, Skills, and Abilities:
Excellent interpersonal communication and negotiation skills
Critical thinking and problem-solving skills
Psychosocial 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
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
Ability to master educational, counseling, and administrative principles, theories, techniques, and practices
Ability to work collaboratively as a dynamic treatment team member
Must be able to read, write and speak conversational English
Suggest and participate in process improvement opportunities in the performance of duties
Psychosocial assessment skills across the age continuum from newborn to geriatric
Demonstrates the ability to connect patients and families with necessary services, both inside and outside the healthcare system
Must demonstrate patience and tact when dealing with patients, families, and other staff
Discharge Planning, Utilization Review, and Interdisciplinary Team Coordination
Grief counseling and crisis intervention skills

Education:
Master's in Social Work (MSW) [Required]

Work Experience:
4 years experience in social work [Required]
Experience in Care Management [Preferred]

Additional Information:
Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements.

Licenses and Certifications:

SW License [Required]
Accredited Case Manager (ACM) [Preferred]
Certified Case Manager (CCM) [Preferred]

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - />

Work Shift:

Day (United States of America)

Pay Range:

$29.57 - $55.01

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

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. Assesses readmitted patients for the patients and familys 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, MD - Rs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Provides patient and family advocacy, and support patients choice and patient rights during hospitalization. Communicates with Payors patients 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. Other duties as assigned. Knowledge, Skills, and Abilities: Excellent interpersonal communication and negotiation skills Critical thinking and problem-solving skills Psychosocial 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 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 Ability to master educational, counseling, and administrative principles, theories, techniques, and practices Ability to work collaboratively as a dynamic treatment team member Must be able to read, write and speak conversational English Suggest and participate in process improvement opportunities in the performance of duties Psychosocial assessment skills across the age continuum from newborn to geriatric Demonstrates the ability to connect patients and families with necessary services, both inside and outside the healthcare system Must demonstrate patience and tact when dealing with patients, families, and other staff Discharge Planning, Utilization Review, and Interdisciplinary Team Coordination Grief counseling and crisis intervention skills. Education: Master's in Social Work (MSW) [Required]Work Experience: 4 years experience in social work [Required] Experience in Care Management [Preferred]Additional Information:Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements. Licenses and Certifications: SW License [Required] Accredited Case Manager (ACM) [Preferred] Certified Case Manager (CCM) [Preferred]Physical Requirements: (Please click the link below to view work requirements)Physical Requirements - 4 mja 2 Work Shift:Day (United States of America)Pay Range:$29.57 - $55.01

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