Experience Inc. Jobs

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

· Career Development

· Whole Person Wellbeing Resources

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: PRN

Shift : 8AM-4:30PM

The community you’ll be caring for: AdventHealth New Smyrna Beach

The role you’ll contribute:

The Clinical Social Worker, Licensed, 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 value you’ll bring to the team:

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

Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.

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.

Incorporate clinical, social and financial factors into the transition of care plan.

Meets with patient/families to discuss realistic and appropriate discharge options and providers of post-hospital care.

Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient

Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.

Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to efficiently communicate and facilitate high quality patient progression of care and transitions plans.

Evaluates the potential for readmissions throughout the patient stay through the monitoring of each patient’s readmission risk scores and coordinating readmission mitigation interventions.

Assures Social Work consults are completed for specialty services related to psychosocial needs, decision making needs for patients who lack capacity, patient/family adjustment needs and psychosocially complex cases.

Develops discharge plan with appropriate contingency plans throughout the hospital stay to enable adaptation to evolving patient care needs and ensure timely care coordination.

Escalates issues barriers to appropriate level of Care Management leadership

Assists with End of Life conversation, Living Wills, Advance Directives, Power of Attorney, Community DNR.

The expertise and experiences you’ll need to succeed :

Minimum qualifications :

Bachelor's in Social Work with health care related Masters or MSW

Minimum five (5) years experience in hospital/medical social work

Licensed Clinical Social Worker (LCSW)

State Social Work applicable Licensure

ACM/CCM certification

Preferred qualifications:

Masters in Social Work

Care Management discharge planning experience

Knowledge of state and federal guidelines pertinent to care management

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

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 New Smyrna Beach

Schedule: Per Diem

Shift: 1 - Day

Req ID: 24031311

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.