- Takes the lead in ensuring the continuity and consistency of care, across the continuum (inpatient, emergency, and ambulatory care/ outpatient) to ensure integrated delivery across all settings to include the facilitation comprehensive discharge planning (in the hospital) and follow-up care (as an outpatient).
- Develops an effective working relationship with the Patient and Family Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, to support and enhance their functional ability, while ensuring an appropriate and timely discharge plan.
- Daily monitoring of progress towards discharge plans and/ or need to alter discharge plan due to change in patient condition / family needs with a priority placed on those patients at highest risk for complication/ admission/ readmission.
- Educates patients/ families with chronic illness about evidence-based standards of care to include self-management strategies.
- Identifies support needs for patients and their families, develops action plan(s), and provides creative guidance in initiating and overcoming any self-management strategies.
- Educates patients and families about the health care system and facilitates relationship building between the various settings.
- Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals and revising the care plan as indicated.
- Refers patients to education regarding the healthcare delivery and reimbursement systems, prescription drug programs, health & wellness programs, community agencies, public and private organizations, housing options, and other services, as appropriate.
- Participates in clinical outcome measurement to include the identification of strategies that promote population health.
- Ensures patient safety in the performance of job functions to include the implementation of policies, procedures, and standards to support the assigned duties.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
- Maintains compliance with all Orlando Health policies and procedures.
- Masters degree from an accredited school of Social Work is required.
- Two (2) years of direct clinical experience with an emphasis on the population to be served in the assigned area.
- Successful completion of masters level internship within the population to be served may substitute the two (2) years of experience
-
Pediatric Social Work Care Manager, Prn
1 week ago
AdventHealth Orlando Orlando, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Days Off from Day One · - Career Development · - Whole Person Wellbeing Resources · **Our promise to you**: · Joining AdventHealth is about being part of something bigger. It's abo ...
-
Social Work Specialist
3 weeks ago
AdventHealth Orlando, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · 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 b ...
-
AdventHealth Winter Park Winter Park, United States**All the benefits and perks you need for you and your family**: · - Benefits from Day One · - Paid Days Off from Day One · - Career Development · **Our promise to you**: · Joining AdventHealth is about being part of something bigger. It's about belonging to a community that beli ...
-
Social Work Care Manager
3 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One · * Paid Days Off from Day One · * Whole Person Wellbeing Resources · Our promise to you: · Joining AdventHealth is about being part of something bigger. It's about belonging to a community tha ...
-
Social Work Care Manager
3 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One · * Paid Days Off from Day One · * Career Development · * Whole Person Wellbeing Resources · Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belongi ...
-
Social Work Care Manager
3 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One · * Paid Days Off from Day One · * Career Development · * Whole Person Wellbeing Resources · Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belongi ...
-
Social Work Care Manager
2 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One* Paid Days Off from Day One* 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 ...
-
Social Work Care Manager
2 weeks ago
AdventHealth Central Florida Orlando, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Whole Person Wellbeing Resources · Our promise to you: · Joining AdventHealth is about being part of something bigger. Its about belonging to a community that bel ...
-
Social Work Care Manager
3 weeks ago
AdventHealth Central Florida Orlando, United StatesAll the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One 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 th ...
-
Social Work Care Manager
3 weeks ago
AdventHealth Orlando, United States**All the benefits and perks you need for you and your family:**+ Benefits from Day One+ Paid Days Off from Day One+ 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 belie ...
-
Social Work Care Manager
2 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One* Paid Days Off from Day One* 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 ...
-
Social Work Care Manager
3 weeks ago
Texas Health Huguley Fws Orlando, United StatesJob Description - Social Work Care Manager · Job Description · Social Work Care Manager · ( · Job Number: · ) · Description · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Our promise to you: · Joining Adve ...
-
Social Work Case Manager
3 weeks ago
Elevance Health Orlando, United StatesLocation: · This position will take part in Elevance Health's hybrid workforce strategy which includes virtual-based work and onsite requirements as needed by the department only. · Although this position is virtual-eligible our ideal candidate will still live within a reasonabl ...
-
Care Coordinator, Social Work
2 days ago
Bayfront Health Orlando, United States PermanentPosition Summary · Join Our Team of the Best At Orlando Health - Bayfront Hospital, we are ordinary people with extraordinary individuality, working together to heal, to help and to hope. Start or advance your career alongside our talented, passionate professionals and find out ...
-
Social Work Care Manager
3 days ago
AdventHealth Orlando, United States Paid WorkAll 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 · Pet Insurance* · Debt-free Edu ...
-
Social Work Care Manager
2 weeks ago
AdventHealth Orlando, United States Paid WorkAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Career Development · Whole Person Wellbeing Resources · Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging t ...
-
ED Social Work Care Manager
3 weeks ago
Adventist Health System Orlando, United StatesAll the benefits and perks you need for you and your family: · * Benefits from Day One · * Paid Days Off from Day One · * Career Development · * Whole Person Wellbeing Resources · Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belongi ...
-
Remote Social Work Care Manager
3 weeks ago
AdventHealth Orlando, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Nursing Clinical Ladder Program* · 3k relocation bonus · Our promise to you: · Joining AdventHealth is about being part of something bigger. It's about belong ...
-
Pediatric Social Work Care Manager, PRN
2 weeks ago
Texas Health Huguley FWS Orlando, United StatesJob Description - Pediatric Social Work Care Manager, PRN · Job Description · Pediatric Social Work Care Manager, PRN · ( · Job Number: · ) · Description · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Our ...
-
Pediatric Social Work Care Manager, PRN
1 day ago
AdventHealth Orlando, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Career Development · Whole Person Wellbeing Resources · Our promise to you: · Joining AdventHealth is about being part of something bigger. It's about belonging to ...
Care Coordinator, Social Work - Orlando, United States - Bayfront Health
Description
Position Summary:
Join Our Team of the Best At Orlando Health - Bayfront Hospital, we are ordinary people with extraordinary individuality, working together to heal, to help and to hope. Start or advance your career alongside our talented, passionate professionals and find out why our own team has named Orlando Health as one of the nations best work environments.
The 480-bed Bayfront Health St. Petersburg was founded in 1910. It was acquired October 1, 2020 by Orlando Health, a not-for-profit healthcare organization with $8.1 billion of assets under management. The hospitals areas of clinical excellence include heart and vascular, surgical services, rehabilitation services, neurosciences, maternity care and as home to the only state-accredited Level Two Adult Trauma Center in the St. Petersburg region emergency services and trauma care.
Position Summary:
REACH, which stands for REadmission Advocates Collaborating in Healthcare, is an Orlando Health program that provides an extension of care management for patients after they are discharged from the hospital. REACH helps to connect a patient/family with community resources, referrals and other services that can help make managing healthcare easier and enhance quality of life. REACH services are available at all Orlando Health hospitals
**** THIS POSITION WILL REQUIRE WORKING OUT OF BAYFRONT IN ST. PETERSBURG ****
Responsibilities:Essential Functions:
Education/Training:
Experience:
Care Coordinator, Social Work professionals in Orlando
-
Emilierose dube
Paralegal
-
Cherisier Samuel
Professional Graphic Designer
-
Taylor Ferrer
Customer service representative
-
SIBDAS MUKHOPADHYAY
OBGYN physician
-
Trinette Lam
Sales Lead
-
Gardenour Marielle
Therapist