Social Work Care Manager

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 :
• 100 HEALTH PARK DR, Louisville, 80027
• The role you'll contribute :

This role receives referrals from interdisciplinary team members and provides crisis interventions and addresses psychosocial needs for patients and families. Responsible for evaluating patients for discharge planning needs and in collaboration with physicians, nurses, and the interdisciplinary team, provides patient care coordination, monitors medical necessity, provides care progression, provides patient and family advocacy, completes post-acute care planning, and implements discharge plans for patients in the acute care setting. This includes assisting patients with social programs and community assistance to address social drivers of health. This role ensures compliance with CMS CoPs for Discharge Planning, federal, and state regulatory requirements. This role is responsible to progress care to achieve length of stay goals, while reducing avoidable readmissions and improving consumer experience. Receives referrals from the interdisciplinary team and provides patient family advocacy, discharge planning coordination, and intervention for identified high risk patients and or other patient case referrals, as necessary.

• The value you'll bring to the team :
• 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.
• The expertise and experiences you'll need to succeed :
• Required qualifications
• Master's
• 2 social work

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 Avista
• Schedule :
• Full-time
• Shift :
• 1 - Day
• Req ID :
• 25045770

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.