**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 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:** FT/Days (8:30AM-5PM) (4 Single Weekend Shifts Per 6-Week Period)

**Location:** 601 East Rollins Street, Orlando, FL 32803

**The community you’ll be caring for:**

+ Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando.

+ Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America.

+ AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country.

+ We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year.

**The role you’ll contribute:**

The Social Work Specialist intervenes with patients who have complex psychosocial needs, require assistance with

eligibility determination for social programs and funding sources and qualify for community assistance from a variety of

special funds 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 Specialist, 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

Specialist ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations.

The Social Work Specialist 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 Specialist 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 Social Worker communicates

daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning,

transitions of care planning and are core competencies of this role. The Social Work Specialist facilitates the

collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care

delivery and reimbursement. The Social Work Specialist provides education to nurses, physicians and the

interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning

and care coordination. The Social Work Specialist is knowledgeable of post-hospital care and services available to the

patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment,

Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and

clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based

Organizations. The Social Work Specialist adheres to departmental and system goals, objectives, policies and procedures

and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and

accepts responsibility in maintaining relationships that are equally respectful to all.

**The value you’ll bring to the team:**

+ Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT) and destination and updates, as needed.

+ Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan for all assigned patients.

+ Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of care.

+ Collaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussions.

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

Qualifications

**The expertise and experiences you’ll need to succeed:**

**EDUCATION AND EXPERIENCE REQUIRED:**

+ Bachelors in Social Work and 2 years experience

**LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**

+ Master's in Social Work

+ Care Management discharge planning experience

+ Knowledge of state and federal guidelines pertinent to care management

+ Minimum two (2) years experience in hospital/medical 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 Orlando

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 24011444

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.