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Social Work Care Manager

3 months ago

Ocala, United States AdventHealth Full time

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

+ Benefits from Day One

+ Paid Days Off from Day One

+ Student Loan Repayment Program

+ Career Development

+ Whole Person Wellbeing Resources

+ Mental Health Resources and Support

**Our promise to you:**

Joining 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.

**Schedule:** Full Time

**Shift** : Days

**Location:** 1500 SW 1 st Ave Ocala, Florida 34471

**The community youll be caring for:** _AdventHealth Ocala_

+ Horse Capital of the World Home to the World Equestrian Center

+ Destination for outdoor enthusiast (golf, kayaking, horseback riding, nature trails)

+ Vibrant downtown area with award winning establishments

+ Family friendly with many parks and recreations

+ Spectacular springs throughout the county

**The role youll 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 Social Work Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management.

**The value youll 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

+ Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, therapy notes, ED notes, test results and progress notes.

+ Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.

Qualifications

**The expertise and experiences youll need to succeed** **:**

+ Master's in social work (MSW)

+ Minimum three (3) years' experience in hospital/medical social work

LICENSURE, CERTIFICATION OR REGISTRATION: PREFERRED:

+ BLS Certification

+ Licensed Clinical Social Worker (LCSW)

+ ACM/CCM certification

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Case Management

**Organization:** AdventHealth Ocala

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 24017722

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.