Medical social worker jobs in Lakeland, FL - 113 jobs

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. Duties/Responsibilities: Develop relationships and collaborate with the primary care teams to conduct social services assessments to determine the appropriate needs for each member. Plan, coordinate, manage and implement support packages to help members deal with socioeconomic and medical barriers. Navigate managed care plans for community services and programs. Case management for social and behavioral care to allow members to self-manage health and social service support. Accurate and timely documentation of patient encounters and sessions in all clinical management systems Proactively identify methods to improve ArchWell Health's approach based on feedback and regularly conducted surveys. Support advance care transitions with members and their families Assist members with access to state-based prescription programs and other benefits. Required Skills/ Abilities: Experience supporting patients with need for social services. Experience with screening, assessment, and planning for common social services needs Working knowledge of differential diagnosis of common mental health conditions Strong interpersonal communication skills with exceptional active listening abilities Highly empathetic, non-judgmental, and open-minded Experience in a collaborative team environment Education and Experience: Fully licensed BSW or MSW in the desired State of practice Master's degree in social work is preferred, Bachelor's is required 1+ years' experience in clinical social work A problem-solving orientation and a flexible and positive attitude Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors. Proficient PC skills Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary) ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Job DescriptionBenefits: Competitive salary Flexible schedule Opportunity for advancement About the Role: Join SENIOR SUPPORT SERVICING LLC as a Medical Social Worker PRN in the beautiful Tampa Bay and Plant City, FL area, where you will make a meaningful impact on the lives of our senior clients. This is an exciting opportunity to provide essential support and resources to those in need while working with a dedicated team of professionals. Responsibilities: Conduct assessments to determine clients' social, emotional, and financial needs. Develop and implement individualized care plans in collaboration with healthcare teams. Provide counseling and support to clients and their families. Facilitate access to community resources and services. Advocate for clients rights and needs within the healthcare system. Maintain accurate and timely documentation of client interactions and progress. Participate in interdisciplinary team meetings to discuss client care and progress. Stay updated on relevant social work practices and regulations. Requirements: Current state licensure as a Licensed Clinical Social Worker (LCSW). Home Health experience preferred. Strong communication and interpersonal skills. Ability to work independently and as part of a team. Compassionate demeanor with a passion for helping seniors. Current CPR certification. Flexible availability for PRN shifts, including weekends and holidays. AXXESS Home Health (EMR) experience preferred. About Us: SENIOR SUPPORT SERVICING LLC has been a trusted provider of quality healthcare services in Tampa, FL. Our commitment to compassionate care and personalized service has earned us the loyalty of our clients and the admiration of our staff, who thrive in a supportive and rewarding work environment.

At Cornerstone Hospice, we lead patient care with compassion and advocacy for comfort, dignity and choice. We are seeking a professional Social Worker (MSW) to provide social services to patients and families with financial, social and emotional concerns. This is a FT position working as part of an Interdisciplinary Team assisting, educating and supporting hospice patients in the Lakeland area. BENEFITS: Competitive Compensation including an unheard of 403(B) match plan Mileage Reimbursement Full benefits package including a Robust PTO Bank Tuition Reimbursement program Learning resources to be successful in your career Schedule: Monday-Friday; 8:00am - 4:30pm. On-call rotation to include occasional weekends. JOB DUTIES/KNOWLEDGE: Performs the social services section of the assessment process; including, but not limited to, completing the psycho-social assessment, educating the patient and family about the Hospice benefit, and gathering financial information. Develops the plan of care with the interdisciplinary team, the patient, and the family to deal with personal, financial, and environmental difficulties experienced by the patient. Provides social work services in accordance with the patient's plan of care. Assists the Interdisciplinary Team to understand the significance of social, emotional, and financial factors related to the patient's care. Assesses and reassesses social, emotional, and financial factors in order to help the patient and family cope with problems related to the patient's life limiting illness. Identifies and utilizes community and family resources to assist with the patient's plan of care. Develops, prepares, and maintains clinical documentation with accuracy, timeliness, and according to prescribed policies. Contacts family after patient's death and assesses level of coping. Makes appropriate recommendation to Bereavement Counselor for follow up. Keeps current of hospice social services trends and knowledge. Participates in in-service programs. Attends and participates in Interdisciplinary Team meetings. Collaborates with appropriate staff to provide social work services to patients and families. Provides education and training for Cornerstone Hospice when requested and arranged by the Director of Social Services. Participates in quality improvement programs. Participates in Hospice-sponsored events. Takes a leadership role in all issues and events relating to the psycho-social impact of life-limiting illness. Provides clinical supervision where appropriate to graduate interns and social services staff. Provides crisis intervention for patients and their families, when and where appropriate. Participates in on-call rotation. QUALIFICATIONS: Master's degree from a school of social work accredited by the Council on Social Work Education. Minimum one year of social work experience in a healthcare setting required. Demonstrates knowledge, skills, and commitment to the Hospice philosophy of care and the Hospice team concept. Possesses the ability to assess and interpret data reflecting the patient's status, and to apply this information in a way that meets patient and family needs. Valid Florida driver's license and the required auto liability insurance. Cornerstone Hospice & Palliative Care, Inc., has been a licensed not-for-profit since 1984. We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age,disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment,hiring, placement, promotion, transfer, training, compensation, benefits,employee activities and general treatment during employment. If you'd like more information about your EEO rights as an applicant under the law, please click here: *****************************************

Empath Hospice, a member of Empath Health is currently seeking a dedicated community outreach Social Worker (MSW) to join our team. The ideal candidate will be passionate about advocating for individuals and families within the community, providing support, resources, and services to enhance their well-being. Care Navigation Mobile Outreach Social Worker (MSW) is responsible for coordinating service inquiries as well as offering prompt access within the Empath Health Network of Care for targeted communities via a community outreach vehicle. Maintains excellence in customer service by being caring, compassionate, empathetic and responsive to the needs of all who reach out to us. JOB DUTIES/RESPONSIBILITIES: Quality/Monitoring: Provides for optimum access to Empath Health Care Continuum via telephone, website, fax and walk-in inquiries. Articulates information and education regarding programs and services in a customized manner appropriate to the individual customer. Works effectively with patients/families, community providers and team members to ensure all necessary information for accurate and complete referrals is received and inputted into patient's electronic medical record (EMR) consistently, accurately and in real time. Responsible for ensuring physician certification information as well as other pre-admission regulatory requirements are received and inputted into electronic medical record (EMR). Assesses patient/family need for case management assistance and links patient/family to appropriate resources. Ensures patient/family has access to financial resources including information about Medicare and Medicaid. Participates in Care Navigation Dept. interdisciplinary team meetings, facilitating the understanding of the psychosocial aspects of care Promotes social and emotional well being Performs the initial patient /family contact to assist with determination of eligibility for programs or service in the Empath Health continuum of care. Completes a psychosocial assessment, identifying the psychosocial needs and wishes of the patient/family, and assisting the patient/family to develop the plan of care in accordance with care program specifics and agency guidelines. Maintains patient and family confidentiality at all times while allaying fears and concerns through calm, empathetic and compassionate listening skills. Communicates information in accordance with Communication Practices to all applicable parties. Provides for a comfortable and supportive atmosphere to persons who arrive on site seeking information, support and assistance with program information. Maintains and continually builds rapport and trust with our community partners. Seizes every opportunity to interact with patients, families, authorized representatives and community agencies to better understand their perspectives, expectations and individualized needs. Is able to anticipate problems before they become complaints and/or resolve complaints effectively, considering every comment or complaint as an opportunity to learn and to prevent the same problem from arising again. Assists with care coordination in various care settings and updates the medical record with current financial status and level of care. Assists the patient/family with decision making issues by providing education and support. Provides community resource information as needed. Collaborates with Care Navigation nurse to assist patient/family in reaching the correct program choice and maximum benefit from the Empath Health care continuum. Connect patient/family with community resources as applicable. Stewardship Continually acts as an ambassador for Empath Health's Network of Care. Is mindful of the balance between the caring sanctuary and the sound business by continually utilizing the agency's resources effectively and efficiently. Leadership and Teamwork Promotes, articulates and consistently models the vision, mission and values of the organization. Contributes to the development of a high functioning team. Assists Care Navigators with any clinical needs within the spoke of practice of a MSW Professional Development Consistently updates knowledge of Empath Health's Network of Care options. Participates in educational offerings to maintain or update skills. Performs a self-evaluation of strengths and weaknesses yearly and develops an annual self-development plan. Other duties as assigned Mobile Unit Maintain an unrestricted driver's license. Responsible for maintaining assigned vehicle in a clean, sanitized, and orderly fashion. Adhere to driver safety guidelines. Maintain accurate driving logs, receipts, and all other related paperwork. POSITION QUALIFICATIONS/REQUIREMENTS: Master of Social Work (MSW) degree from a school of Social Work accredited by the Council on Social Work Education. At least one year of social work or counseling experience in a healthcare setting (The one-year masters level internship would meet this requirement). Bilingual- fluent in English and Spanish Valid Florida State Driver's License Continuing Education: As required for licensure. For field-based positions, employees must have reliable transportation which will enable them to perform tasks and responsibilities in a timely and appropriate fashion. Must provide proof of valid automobile insurance, a copy of which will be placed in the employee's HR file. Preferred Qualification: 1 year experience working in underserved populations and demographics Preferred Qualification: Experience maneuvering and operating a mobile unit. Enhanced DMV licensure not required. Suncoast Hospice, Empath Home Health, and Empath Health Pharmacy are proud to be accredited by the Joint Commission showing our commitment to quality. Empath Health values diversity as it strengthens our community and care. We embrace the diversity of cultures, thoughts, beliefs and traditions of our employees, volunteers and people we are honored to serve across our network. Our diverse staff reflects our community and each day, we work to be respectful, sensitive and competent with each other and those in our care. In every journey, we are dedicated to achieving comfort, dignity and exceptional care. Those of all backgrounds are welcome and encouraged to apply with us or seek our care and services. Our commitment to patient, client, staff and volunteer safety is a cornerstone of a High Reliability Organization with a focus on zero harm. Participation in the seasonal influenza program is a condition of employment and a requirement for all Empath Health employees. Providing compassionate, full life care is an honor we take seriously at Empath Health. Join our team and make a positive impact in the community!

Job Description The Hospice Triage Social Worker functions under the direct supervision of the Social Services Manager and/or Director of Clinical Social Work and plays a key supportive role on the interdisciplinary hospice team by serving as the first point of contact for incoming patient and family needs. This position is responsible for triaging daily calls, identifying appropriate interventions, managing resource coordination, and facilitating short-term practical supports such as respite care requests and travel agreements and assists/support the Department of Patient Navigation in their discharge efforts. Triage Social Worker ensures that urgent and non-urgent concerns are efficiently addressed or appropriately escalated to clinical staff. EDUCATION AND QUALIFICATIONS: Bachelor's degree in Social Work (BSW) from an accredited school/university At least 1 year of work or internship experience in healthcare, hospice, case management, or related field preferred Must have reliable transportation to perform tasks and responsibilities in a timely and appropriate Must be able to provide proof of automobile insurance and possess a valid driver's license copies of which will be placed in the employee's file ESSENTIAL JOB RESPONSIBILITIES: Practice Social Work in a manner that is a model for professional and agency ethics, values and integrity and complies with the letter and spirit of legal aspects Serve as the primary responder to daily incoming triage calls and electronic communications related to social work or family service concerns and requests Assess the urgency and nature of each inquiry, provide immediate support or guidance when appropriate, and promptly route or escalate cases to the appropriate Team Social Worker for follow-up and continued care coordination Communicate effectively with patients, families, and interdisciplinary team members Document interactions and follow-ups accurately in the electronic medical record Initiate and monitor respite care requests in collaboration with the clinical team Facilitate travel agreements and out-of-service area planning in coordination with nursing, medical, and admissions teams Identify and coordinate community resources and financial/social assistance programs; discuss discharge planning needs and assist with answering basic questions relative to appropriate paperwork/documents needed Maintain updated resource directories and forms for team use Assist with routine follow-up calls to families for non-clinical check-ins Participate in team meetings to report on triaged calls and completed interventions as needed/requested Support data entry, scheduling, and tracking of social work service metrics, as needed Adhere to the practice of confidentiality regarding patients, families, and GHS staff Empathic and compassionate with a patient-centered attitude towards accepting death as a part of life and enhancing the quality to life for patients assigned to his/her care Demonstrate continued professional growth and development through participation in educational and in-service training programs for professional staff Address and support all GHS policies and procedures; act in accordance with company standards as outlined in the GHS Policy Manual (Employee Handbook) Promote the company through participation and support of community partnerships and in professional organizations All other duties/tasks as deemed appropriate to the position of BSW level Social Worker as requested/delegated or assigned by Social Services Manager or Director of Social and Volunteer Services EEO Statement: Gulfside Healthcare Services, Inc. is committed to Equal Employment Opportunity (“EEO”) and complies with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation. NOTE: All Gulfside Healthcare Services positions (except some Thrift Shoppe Positions) require an AHCA Level 2 Fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse. Please refer to this link for more information on this: ********************************

Job Description MSW Medical Master Social Worker Celebration, Florida The MSW, Medical Social Worker, receives referrals for individuals from at-risk populations from interdisciplinary team members. The Medical Social Worker ensures patient-centered Care Coordination through the Continuum of Care. The MSW ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Medical MSW 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 MSW 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 Clinical Social Worker communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies. The MSW facilitates the collaborative management of patient care across the continuum. The MSW 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. The MSW 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 Medical Master Social Worker, Licensed, is knowledgeable of post-hospital care and services available to the patient. Qualifications: Masters in Social Work (MSW) experience in an Acute Hospital setting Licensed Clinical Social Worker (LCSW) or Licensed Clinical Social Worker Associate (LCSW-A) per state requirement Care Management experience Knowledge of state and federal guidelines pertinent to Medical Case Management Responsibilities: Escalates issues barriers to appropriate level of Care Management leadership Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan 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 Ensures all patients on assigned unit(s) are moved timely and effectively to appropriate levels of care Ensures reassessment of discharge needs provided anytime a patient's condition changes and/or the circumstances impacting the provision of post-hospital care changes 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 Provides Motivational Interview techniques for patients with substance use and addictive disorders Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers Provides assessment and reporting interventions Provides consultation 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 Facilitates full team discussion including patient and family when ethical dilemmas arise Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at ************************ or visit our Case Management website at ****************************************************** If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience. Michelle Boeckmann | President Case Management Recruitment Direct Dial ************ ************************ ********************************************* A member of the Sanford Rose Associates network of offices America's Best Professional Recruiting Firms | Forbes 2024 Top 10 U.S. Search Firm - Executive Search Review

Humanitary Medical Center Kissimmee, Inc. is looking for an experienced and friendly Social Services Coordinator that can work in a fast-paced environment. We are actively interviewing, and our team is waiting for the right candidate! Job Summary: The Social Services Coordinators responsibility is to provide information and guidance to patients about their social rights, benefits and existing resources facilitating access to all citizens. Also provides orientation on the steps to follow within the federal, state and local regulations, including HIPAA. Coordinates the socio- economic needs and service to selected member populations across the continuum of illness. Work Location: 1507 N. John Young Pkwy, STEB Orlando FL 34741 Essential Duties & Responsibilities: The following duties are illustrative and not exhaustive. Detects and receives cases on patient's needs related to Social Services and Social Assistance Interviews and coordinate home assessments with members and their families Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care Assess social needs of applicant through an individualized analysis with the use of techniques and experiences of the Social Worker Coordinates appropriate resources to patients to meet their needs and demands Evaluates and follows up with all cases, especially where there are minors or elderly, or anyone at higher risk Develops plan of care for patients to obtain authorizations for appropriate home and community-based services Assesses the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports Acts as a liaison between the Health Plan, providers, enrollees, and their families Assesses the enrollees' current medical and social circumstances to identify any gaps or barriers that would impact compliance with the prescribed treatment plan and assist members in understanding the implications and complexities of their current medical condition Educate enrollees about the program, including Community based Services Coordinates with enrollees' primary care provider, specialists and other providers and care programs to ensure comprehensive approach to care and determine appropriate behavioral action needed to support medical needs Coordinates community resources and assist members in obtaining these resources when their benefits are exhausted or not available Follows up with members telephonically and/or in-person and coordinates member's case management services Constantly interacts with members, family and other resources to determine appropriate behavioral action needed to address/ support medical needs Calls patients to ensure they are and have seen their PCP and are completing their treatment plan or preventative care services as defined by the PCP or guidelines Coordinates community resources Assists in obtaining benefits for members through community resources At times, may manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability Communicates effectively with other professional and support staff to achieve positive patient outcomes Promotes and contributes to a positive, problem-solving environment Assists patients, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner Complies with company policies and procedures and maintains confidentiality of patient medical records in accordance with state and federal laws Ensures compliance with all HEDIS, HIPAA, OSHA and other federal, state or local regulations Participates in training and in-service education, as required Other duties as assigned This is not intended to be all-inclusive. Our associates may be required to perform other related duties as necessary to meet the ongoing needs of the organization. Requirements: Experience in an acute care, manage care, or social services environment Minimum of High School diploma or equivalent combination of education and experience Previous experience in healthcare environment and medical terminology Excellent computer knowledge is required, including proficient knowledge of Microsoft Office Proficiency in electronic health record software Outstanding Customer relations experience Proficient in Microsoft Office, including Outlook and Excel. Reliable with strong organizational and interpersonal skills Must be fully Bilingual (English & Spanish) Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization Ability to work effectively independently and in a team environment with little supervision Must be able to work well under stressful conditions Must be able to work in a fast-paced environment Ability to effectively present information and respond to questions from groups of managers, clients, customers and the public, strong presentation skills Ability to define problems, collect data, establish facts, and draw valid conclusions Strong decision-making, analytical skills Must be self-motivated, organized and have excellent prioritization skills Physical Requirements/Working Environment: The noise level in the work environment is usually moderate Works in office areas as well as throughout the facility Interact with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances May be subject to hostile and/or emotionally upset patients, family members, staff, visitors, etc. May be exposed to infectious waste, diseases, conditions, etc., including exposure to the AIDS and hepatitis B viruses. All employees are offered the opportunity to receive the Engerix Hepatitis B vaccination series This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours Work schedule is approximate, and hours/days may change based on company needs All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed May be requested lo work overtime and weekends May occasionally walk on slippery or uneven surfaces Highly regulated environment Ability to continuously sit for extended periods of time Frequent bending, kneeling, squatting The employee may lift and/or move up to 10 pounds The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: Humanitary Medical Center Inc reserves the right to modify, interpret, or apply this , as it desires. The above information in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. This is not an all-inclusive ; therefore, management has the right to assign or reassign schedules, duties and responsibilities to this job at any time. This job description is not an employment contract, implied or otherwise. Humanitary Medical Center Inc is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Benefits offered: Paid Holidays 401 (k) Plan PTO (Paid Time Off) Employee Assistance Program Health Insurance Voluntary Life Insurance

Care Coordinator, Acute Social Worker II Site/Department: Orlando Health Bayfront Cancer Institute Be Part of Something New and Extraordinary Join the growing team at Orlando Health Bayfront Cancer Institute in St. Petersburg, Florida, where cutting-edge cancer care meets compassionate service. This is your opportunity to start or grow your career in a dynamic, patient-centered environment that values excellence, innovation, and collaboration. Job Summary Collaborates with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and preventative care services. Responsibilities Essential Functions 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. Ensures patients have access to prescriptions, durable medical equipment (DME), and other services as identified. 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. Advocates for patients in order to optimize their health care needs including but not limited to: safety, physical, legal and financial well-being. 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. Works with available IT resources (i.e. Phytel, Crimson) to facilitate registry reporting and maintenance of specified patient populations to improve disease outcome measures through evidence-based guidelines and the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders. 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. Provides clinical treatment interventions under the supervision of licensed Mental Health Therapist, to include facilitating patient's psychosocial adjustment along the continuum of care and transition to next level of care. Participates in facilitation of psychosocial support groups. Provides mental health education, information consultation and supporting patient and family needs. Possesses excellent analytical and team building skills, as well as the ability to prioritize and work independently. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served though knowledge of the principles of growth and development over the life span. Demonstrates awareness of medical/ legal issues, patient rights and compliance with standards of regulatory and accrediting agencies. Qualifications Education/Training Master's degree from an accredited school of Social Work, Mental Health, Psychology or Marriage and Family Therapy is required. Experience Two (2) years of direct clinical experience with an emphasis on the population to be served in the assigned area. Successful completion of Master's level internship within the population to be served may substitute the two (2) years of experience.

196 Days Per Year Full Time, Benefit Eligible Responsible for applying unique knowledge and skills to students and their families who are referred to assist in the prevention and remediation of problems in attendance, behavior, health, and adjustment. Enhance the District's efforts to meet its academic mission where home, school, and community collaboration provide the key to achieving student success. In-county travel is required to perform the essential responsibilities. EDUCATION, TRAINING & EXPERIENCE Master's degree from an accredited institution in the field of Social Work, or related field, that includes 300 hours or more of field placement in a K-12 school setting or with diverse individuals in a community setting CERTIFICATES, LICENSES & REGISTRATIONS Valid and current Florida license as a Licensed Clinical Social Worker (LCSW) or Florida Educator Certificate in School Social Work Valid Florida Driver's license Click here for Job Description. BACKGROUND SCREENING Pasco County Schools utilizes the Florida Care Provider Background Screening Clearinghouse for fingerprinting and Level II background screening. For more information about the Florida Clearinghouse and Level II background screening requirements, including eligibility assessments and compliance guidelines, please visit ********************************* Notification of Nondiscrimination: The District School Board of Pasco County does not discriminate on the basis of race, color, sex, religion, national origin, marital status, disability, or age in its programs, services, and activities or in its hiring and employment practices.

Responsibilities: Work on a team while learning and being mentored by BGE employees Attend specific events and training geared toward career development. Interns will participate in intern-specific activities in addition to normal work activities. Requirements: Must be full-time student in the process of obtaining a Bachelor's degree in Civil Engineering, Construction, Landscape Architecture, Environmental Science, or a related discipline. Strong proficiency with business software (MS Office) and ability to learn industry-specific software. Strong verbal and written communication skills in English. Strong collaborator who works well on a team. Willingness and ability to work 40 hours per week, Monday through Friday.

The Social Work Intern at The Friendship Place will gain hands-on experience working with adults with intellectual and developmental disabilities (IDD) in an Adult Day Training (ADT) setting. This internship is designed to provide meaningful exposure to case management support, program planning, documentation, advocacy, and community resource coordination in a supportive, inclusive environment. The intern will work closely with staff and participants to support daily programming, enhance quality of life outcomes, and develop practical social work skills aligned with ethical and professional standards. Key Responsibilities Direct Support & Participant Engagement ● Assist with daily activities and group programming for adult participants ● Support social, emotional, and life-skills development in a group setting ● Observe and assist with behavior support strategies as appropriate ● Encourage independence, choice-making, and positive social interactions Case Management & Documentation ● Assist with maintaining participant files, notes, and logs (under supervision) ● Observe and support documentation practices aligned with APD standards ● Learn proper confidentiality, HIPAA, and professional documentation protocols ● Participate in staff meetings and case discussions as appropriate Program & Activity Support ● Assist in planning and facilitating recreational, educational, and life-skills activities ● Support themed programming, community outings, and special events ● Help adapt activities to accommodate varying abilities and support needs Advocacy & Community Resources ● Assist with identifying and compiling community resources for participants and families ● Support referrals and follow-up under staff supervision ● Observe advocacy efforts related to services, inclusion, and participant rights Professional Development ● Receive weekly supervision and feedback ● Complete learning objectives required by academic program ● Observe ethical decision-making and interdisciplinary teamwork ● Reflect on experiences through journaling or assignments as required by school Learning Opportunities Interns will gain experience in: ● Adult Day Training programming ● Working with adults with intellectual and developmental disabilities ● Person-centered planning and strengths-based approaches ● Professional documentation and compliance standards ● Program development and group facilitation ● Ethical practice and professional boundaries Qualifications ● Currently enrolled in a BSW or MSW program (or related human services field) ● Interest in working with adults with developmental or intellectual disabilities ● Strong communication and interpersonal skills ● Compassionate, patient, and professional demeanor ● Ability to maintain confidentiality and professional boundaries ● Reliable transportation preferred Physical & Environmental Requirements ● Ability to engage in group activities and assist participants as needed ● Ability to remain on feet for portions of the day ● Occasional lifting or assisting (with accommodations if needed) Supervision & Evaluation ● Intern will receive regular supervision ● Performance evaluations will be completed as required by the academic institution ● Learning objectives will be tailored to meet school requirements

**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. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Part time **Shift:** Day (United States of America) **Address:** 400 CELEBRATION PL **City:** CELEBRATION **State:** Florida **Postal Code:** 34747 **Job Description:** + Hours- 2- 12 hour shifts 7am-7:30pm(Saturday and Sunday) + 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. + Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Master's (Required) Accredited Case Manager (ACM) - EV Accredited Issuing Body, Certified Advanced Practice Social Worker (CAPSW) - Accredited Issuing Body, Certified Case Manager (CCM) - EV Accredited Issuing Body, Certified Independent Social Worker (CISW) - Accredited Issuing Body, Certified Social Worker (CSW) - Accredited Issuing Body, Clinical Social Worker License (LCSW) - EV Accredited Issuing Body, Licensed Baccalaureate Social Worker (LBSW) - EV Accredited Issuing Body, Licensed Master Social Worker (LMSW) - EV Accredited Issuing Body, Licensed Masters Social Worker - Advanced Practice (LMSW-AP) - Accredited Issuing Body, Licensed Social Worker (LSW) - EV Accredited Issuing Body **Pay Range:** $23.71 - $44.09 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Behavioral & Social Work Services **Organization:** AdventHealth Celebration **Schedule:** Part time **Shift:** Day **Req ID:** 150658469

Bilingual Preferred At Cornerstone Hospice, we lead patient care with compassion and advocacy for comfort, dignity and choice. We are seeking a professional Social Worker (MSW) to provide social services to patients and families with financial, social and emotional concerns. This is a FT position working as part of an Interdisciplinary Team assisting, educating and supporting hospice patients in the Polk county area. BENEFITS: Competitive Compensation including an unheard of 403(B) match plan Mileage Reimbursement Full benefits package including a Robust PTO Bank Tuition Reimbursement program Learning resources to be successful in your career Schedule: Monday-Friday; 8:00am - 4:30pm . On-call rotation to include occasional weekends. JOB DUTIES/KNOWLEDGE: Performs the social services section of the assessment process; including, but not limited to, completing the psycho-social assessment, educating the patient and family about the Hospice benefit, and gathering financial information. Develops the plan of care with the interdisciplinary team, the patient, and the family to deal with personal, financial, and environmental difficulties experienced by the patient. Provides social work services in accordance with the patient's plan of care. Assists the Interdisciplinary Team to understand the significance of social, emotional, and financial factors related to the patient's care. Assesses and reassesses social, emotional, and financial factors in order to help the patient and family cope with problems related to the patient's life limiting illness. Identifies and utilizes community and family resources to assist with the patient's plan of care. Develops, prepares, and maintains clinical documentation with accuracy, timeliness, and according to prescribed policies. Contacts family after patient's death and assesses level of coping. Makes appropriate recommendation to Bereavement Counselor for follow up. Keeps current of hospice social services trends and knowledge. Participates in in-service programs. Attends and participates in Interdisciplinary Team meetings. Collaborates with appropriate staff to provide social work services to patients and families. Provides education and training for Cornerstone Hospice when requested and arranged by the Director of Social Services. Participates in quality improvement programs. Participates in Hospice-sponsored events. Takes a leadership role in all issues and events relating to the psycho-social impact of life-limiting illness. Provides clinical supervision where appropriate to graduate interns and social services staff. Provides crisis intervention for patients and their families, when and where appropriate. Participates in on-call rotation. QUALIFICATIONS: Master's degree from a school of social work accredited by the Council on Social Work Education. Minimum one year of social work experience in a healthcare setting required. Demonstrates knowledge, skills, and commitment to the Hospice philosophy of care and the Hospice team concept. Possesses the ability to assess and interpret data reflecting the patient's status, and to apply this information in a way that meets patient and family needs. Valid Florida driver's license and the required auto liability insurance. Cornerstone Hospice & Palliative Care, Inc., has been a licensed not-for-profit since 1984. We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. If you'd like more information about your EEO rights as an applicant under the law, please click here: *****************************************

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. Duties/Responsibilities: Develop relationships and collaborate with the primary care teams to conduct social services assessments to determine the appropriate needs for each member. Plan, coordinate, manage and implement support packages to help members deal with socioeconomic and medical barriers. Navigate managed care plans for community services and programs. Case management for social and behavioral care to allow members to self-manage health and social service support. Accurate and timely documentation of patient encounters and sessions in all clinical management systems Proactively identify methods to improve ArchWell Health's approach based on feedback and regularly conducted surveys. Support advance care transitions with members and their families Assist members with access to state-based prescription programs and other benefits. Required Skills/ Abilities: Experience supporting patients with need for social services. Experience with screening, assessment, and planning for common social services needs Working knowledge of differential diagnosis of common mental health conditions Strong interpersonal communication skills with exceptional active listening abilities Highly empathetic, non-judgmental, and open-minded Experience in a collaborative team environment Education and Experience: Fully licensed BSW or MSW in the desired State of practice Master's degree in social work is preferred, Bachelor's is required 1+ years' experience in clinical social work A problem-solving orientation and a flexible and positive attitude Mission driven and motivated to join an organization that will transform the way we deliver accessible, clinically excellent care to seniors. Proficient PC skills Fluency in Spanish or other languages spoken by people in the communities we serve (where necessary) ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Humanitary Medical Center Kissimmee, Inc. is looking for an experienced and friendly Social Services Coordinator that can work in a fast-paced environment. We are actively interviewing, and our team is waiting for the right candidate! Job Summary: The Social Services Coordinators responsibility is to provide information and guidance to patients about their social rights, benefits and existing resources facilitating access to all citizens. Also provides orientation on the steps to follow within the federal, state and local regulations, including HIPAA. Coordinates the socio- economic needs and service to selected member populations across the continuum of illness. Work Location: 1507 N. John Young Pkwy, STEB Orlando FL 34741 Essential Duties & Responsibilities: The following duties are illustrative and not exhaustive. Detects and receives cases on patient's needs related to Social Services and Social Assistance Interviews and coordinate home assessments with members and their families Provides support and/or intervention and assists members in understanding the implications and complexities of their current medical situation and/or overall personal care Assess social needs of applicant through an individualized analysis with the use of techniques and experiences of the Social Worker Coordinates appropriate resources to patients to meet their needs and demands Evaluates and follows up with all cases, especially where there are minors or elderly, or anyone at higher risk Develops plan of care for patients to obtain authorizations for appropriate home and community-based services Assesses the availability of natural supports such as the enrollee's representative or family members to ensure the ongoing mental and physical health of those natural supports Acts as a liaison between the Health Plan, providers, enrollees, and their families Assesses the enrollees' current medical and social circumstances to identify any gaps or barriers that would impact compliance with the prescribed treatment plan and assist members in understanding the implications and complexities of their current medical condition Educate enrollees about the program, including Community based Services Coordinates with enrollees' primary care provider, specialists and other providers and care programs to ensure comprehensive approach to care and determine appropriate behavioral action needed to support medical needs Coordinates community resources and assist members in obtaining these resources when their benefits are exhausted or not available Follows up with members telephonically and/or in-person and coordinates member's case management services Constantly interacts with members, family and other resources to determine appropriate behavioral action needed to address/ support medical needs Calls patients to ensure they are and have seen their PCP and are completing their treatment plan or preventative care services as defined by the PCP or guidelines Coordinates community resources Assists in obtaining benefits for members through community resources At times, may manage members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial vulnerability Communicates effectively with other professional and support staff to achieve positive patient outcomes Promotes and contributes to a positive, problem-solving environment Assists patients, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner Complies with company policies and procedures and maintains confidentiality of patient medical records in accordance with state and federal laws Ensures compliance with all HEDIS, HIPAA, OSHA and other federal, state or local regulations Participates in training and in-service education, as required Other duties as assigned This is not intended to be all-inclusive. Our associates may be required to perform other related duties as necessary to meet the ongoing needs of the organization. Requirements: Experience in an acute care, manage care, or social services environment Minimum of High School diploma or equivalent combination of education and experience Previous experience in healthcare environment and medical terminology Excellent computer knowledge is required, including proficient knowledge of Microsoft Office Proficiency in electronic health record software Outstanding Customer relations experience Proficient in Microsoft Office, including Outlook and Excel. Reliable with strong organizational and interpersonal skills Must be fully Bilingual (English & Spanish) Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization Ability to work effectively independently and in a team environment with little supervision Must be able to work well under stressful conditions Must be able to work in a fast-paced environment Ability to effectively present information and respond to questions from groups of managers, clients, customers and the public, strong presentation skills Ability to define problems, collect data, establish facts, and draw valid conclusions Strong decision-making, analytical skills Must be self-motivated, organized and have excellent prioritization skills Physical Requirements/Working Environment: The noise level in the work environment is usually moderate Works in office areas as well as throughout the facility Interact with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances May be subject to hostile and/or emotionally upset patients, family members, staff, visitors, etc. May be exposed to infectious waste, diseases, conditions, etc., including exposure to the AIDS and hepatitis B viruses. All employees are offered the opportunity to receive the Engerix Hepatitis B vaccination series This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours Work schedule is approximate, and hours/days may change based on company needs All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed May be requested lo work overtime and weekends May occasionally walk on slippery or uneven surfaces Highly regulated environment Ability to continuously sit for extended periods of time Frequent bending, kneeling, squatting The employee may lift and/or move up to 10 pounds The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: Humanitary Medical Center Inc reserves the right to modify, interpret, or apply this , as it desires. The above information in this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. This is not an all-inclusive ; therefore, management has the right to assign or reassign schedules, duties and responsibilities to this job at any time. This job description is not an employment contract, implied or otherwise. Humanitary Medical Center Inc is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. Benefits offered: Paid Holidays 401 (k) Plan PTO (Paid Time Off) Employee Assistance Program Health Insurance Voluntary Life Insurance

Site: Orlando Health Bayfront Hospital Care Coordinator, Acute Social Worker II Deparment: Baby Place Schedule: Full-Time;Day shift Bayfront Hospital Orlando Health Bayfront Hospital is a comprehensive tertiary care facility that has been serving St. Petersburg and the surrounding communities for more than 100 years. A teaching medical center, the 480-bed hospital's areas of expertise include heart and vascular, digestive health, orthopedics, surgical services, robotic surgery, rehabilitation, neurosciences, maternity care, emergency services and trauma care. The hospital's Level II Trauma Center is the only adult trauma center in Pinellas County. Home to the Center for Women and Babies, the hospital offers full obstetrical services, and, in partnership with Johns Hopkins All Children's Hospital, is one of Florida's 13 state-certified Level III Regional Perinatal Intensive Care Centers. A commitment to quality has earned the hospital recognition with a USA Today Top Workplaces award for 2025 and an “A” Hospital Safety Grade from The Leapfrog Group. Orlando Health Bayfront Hospital is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's east to west coasts, Central Alabama and Puerto Rico. Collectively, our dedicated team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve. Job Summary The Social Worker II collaborates with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and preventative care services. Responsibilities Essential Functions 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. Ensures patients have access to prescriptions, durable medical equipment (DME), and other services as identified. 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. Advocates for patients in order to optimize their health care needs including but not limited to: safety, physical, legal and financial well-being. 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. Works with available IT resources (i.e. Phytel, Crimson) to facilitate registry reporting and maintenance of specified patient populations to improve disease outcome measures through evidence-based guidelines and the implementation of clinical decision support tools, referral and test tracking, and preventive medicine reminders. 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. Provides clinical treatment interventions under the supervision of licensed Mental Health Therapist, to include facilitating patient's psychosocial adjustment along the continuum of care and transition to next level of care. Participates in facilitation of psychosocial support groups. Provides mental health education, information consultation and supporting patient and family needs. Possesses excellent analytical and team building skills, as well as the ability to prioritize and work independently. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served though knowledge of the principles of growth and development over the life span. Demonstrates awareness of medical/ legal issues, patient rights and compliance with standards of regulatory and accrediting agencies. Performs other duties as assigned or required Qualifications Education/Training Master's degree from an accredited school of Social Work, Mental Health, Psychology or Marriage and Family Therapy is required. Licensure/Certification BLS Experience Two (2) years of direct clinical experience with an emphasis on the population to be served in the assigned area. Successful completion of Master's level internship within the population to be served may substitute the two (2) years of experience.

MSW Medical Master Social Worker Celebration, Florida The MSW, Medical Social Worker, receives referrals for individuals from at-risk populations from interdisciplinary team members. The Medical Social Worker ensures patient-centered Care Coordination through the Continuum of Care. The MSW ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Medical MSW 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 MSW 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 Clinical Social Worker communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies. The MSW facilitates the collaborative management of patient care across the continuum. The MSW 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. The MSW 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 Medical Master Social Worker, Licensed, is knowledgeable of post-hospital care and services available to the patient. Qualifications: Masters in Social Work (MSW) experience in an Acute Hospital setting Licensed Clinical Social Worker (LCSW) or Licensed Clinical Social Worker Associate (LCSW-A) per state requirement Care Management experience Knowledge of state and federal guidelines pertinent to Medical Case Management Responsibilities: Escalates issues barriers to appropriate level of Care Management leadership Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan 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 Ensures all patients on assigned unit(s) are moved timely and effectively to appropriate levels of care Ensures reassessment of discharge needs provided anytime a patient's condition changes and/or the circumstances impacting the provision of post-hospital care changes 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 Provides Motivational Interview techniques for patients with substance use and addictive disorders Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers Provides assessment and reporting interventions Provides consultation 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 Facilitates full team discussion including patient and family when ethical dilemmas arise Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at ************************ or visit our Case Management website at ****************************************************** If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience. Michelle Boeckmann | President Case Management Recruitment Direct Dial ************ ************************ ********************************************* A member of the Sanford Rose Associates network of offices America's Best Professional Recruiting Firms | Forbes 2024 Top 10 U.S. Search Firm - Executive Search Review

**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. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 2600 BRUCE B DOWNS BLVD **City:** WESLEY CHAPEL **State:** Florida **Postal Code:** 33544 **Job Description:** + 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. + Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate. **Knowledge, Skills, and Abilities:** - N/A **Education:** - Master's [Required] **Field of Study:** - N/A **Work Experience:** - 2+ care management experience [Preferred] - 2+ social work [Required] **Additional Information:** Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements **Licenses and Certifications:** - Accredited Case Manager (ACM) [Preferred] - Certified Case Manager (CCM) [Preferred] **Physical Requirements:** _(Please click the link below to view work requirements)_ Physical Requirements - **************************** **Pay Range:** $23.71 - $44.09 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Behavioral & Social Work Services **Organization:** AdventHealth Wesley Chapel **Schedule:** Full time **Shift:** Day **Req ID:** 150726769

$3000 Sign On Bonus At Cornerstone Hospice, we lead patient care with compassion and advocacy for comfort, dignity and choice. We are seeking a professional Social Worker (MSW) to provide social services to patients and families with financial, social and emotional concerns. This is a FT position working as part of an Interdisciplinary Team assisting, educating and supporting hospice patients in the Lake County area. BENEFITS: Competitive Compensation including an unheard of 403(B) match plan Mileage Reimbursement Full benefits package including a Robust PTO Bank Tuition Reimbursement program Learning resources to be successful in your career Schedule: Monday-Friday; 8:00am - 4:30pm . On-call rotation to include occasional weekends. JOB DUTIES/KNOWLEDGE: Performs the social services section of the assessment process; including, but not limited to, completing the psycho-social assessment, educating the patient and family about the Hospice benefit, and gathering financial information. Develops the plan of care with the interdisciplinary team, the patient, and the family to deal with personal, financial, and environmental difficulties experienced by the patient. Provides social work services in accordance with the patient's plan of care. Assists the Interdisciplinary Team to understand the significance of social, emotional, and financial factors related to the patient's care. Assesses and reassesses social, emotional, and financial factors in order to help the patient and family cope with problems related to the patient's life limiting illness. Identifies and utilizes community and family resources to assist with the patient's plan of care. Develops, prepares, and maintains clinical documentation with accuracy, timeliness, and according to prescribed policies. Contacts family after patient's death and assesses level of coping. Makes appropriate recommendation to Bereavement Counselor for follow up. Keeps current of hospice social services trends and knowledge. Participates in in-service programs. Attends and participates in Interdisciplinary Team meetings. Collaborates with appropriate staff to provide social work services to patients and families. Provides education and training for Cornerstone Hospice when requested and arranged by the Director of Social Services. Participates in quality improvement programs. Participates in Hospice-sponsored events. Takes a leadership role in all issues and events relating to the psycho-social impact of life-limiting illness. Provides clinical supervision where appropriate to graduate interns and social services staff. Provides crisis intervention for patients and their families, when and where appropriate. Participates in on-call rotation. QUALIFICATIONS: Master's degree from a school of social work accredited by the Council on Social Work Education. Minimum one year of social work experience in a healthcare setting required. Demonstrates knowledge, skills, and commitment to the Hospice philosophy of care and the Hospice team concept. Possesses the ability to assess and interpret data reflecting the patient's status, and to apply this information in a way that meets patient and family needs. Valid Florida driver's license and the required auto liability insurance. Cornerstone Hospice & Palliative Care, Inc., has been a licensed not-for-profit since 1984. We are an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age,disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment,hiring, placement, promotion, transfer, training, compensation, benefits,employee activities and general treatment during employment. If you'd like more information about your EEO rights as an applicant under the law, please click here: *****************************************