Social Work Care Manager

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: Part Time

Shift: The team member would work Saturday and Sunday 8:30-5.

The community you’ll be caring for:

• Established in 1997 and now a 203-bed hospital
• AdventHealth Celebration Health was designed as a Mediterranean resort-style facility to serve as a cornerstone of health in Disney’s planned community of Celebration, Florida
• The hospital consistently delivers a state-of-the-art healing environment to residents of Osceola, Orange, Polk and Lake Counties, as well as to visitors from across the United States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body, and spirit in the defeat of illness and disease

The role you’ll contribute:

The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high-risk patient populations. This role will receive referrals for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team). The Social Work Care Manager, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered care coordination through the continuum of care. The Social Work Care Manager ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs; development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient.

The value you’ll bring to the team:

• Psychosocial Assessment and Interventions
• Assesses patient's and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, assisting those coping with adjusting to significant life transitions
• Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs
• Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end-of-life issues
• Provides grief counseling and crisis intervention skills
• Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the healthcare system
• Provides de-escalation services for patient/family as appropriate
• Provide Motivational Interview techniques for patients with substance use and addictive disorders
• Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention
• Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis
• Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers
• Receives referrals for psychosocial complex needs from the health care team.
• Provides assessment and reporting interventions in child abuse/neglect, domestic violence, adult/elderly abuse, child protection, sexual assault, and human trafficking as appropriate.
• Provides consult services for patients who may possibly lack decision making capacity. Follows the guardianship (temporary/ permanent) policies and procedures and coordinates with Care Management leadership throughout the process.
• Provides consult services for foster care and adoptions.
• Assists the health care team in the patient assessments and placements for mental health services.
• Facilitates full team discussion including patient and family when ethical dilemmas arise.
• Promotes the understanding and use of advanced directives and ensures patient preference and care goals are followed

The expertise and experiences you'll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

• Masters in Social Work (MSW)
• Minimum three (3) years experience in hospital/medical social work

EDUCATION AND EXPERIENCE PREFERRED:

• Care Management discharge planning experience
• Knowledge of state and federal guidelines pertinent to care management

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• Licensed Clinical Social Worker (LCSW)
• ACM/CCM certification