Medical social worker jobs in Palm Harbor, FL

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.

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.

Family Case Manager The Company: Our client is a well-established non-profit healthcare organization based in St. Petersburg, Florida, offering employees the support and understanding you'd expect from top-rated management. The Position: Our client is seeking a master's-level therapist to join the Forensics, Adult, or Crisis departments. The client is offering the following compensation and benefits: $41,000 -$43,000, depending on experience Health insurance Vision and dental insurance 403(b) with 5% match 10 days of PTO + 8 paid holidays Malpractice and all fees paid by employer And much more! Requirements: Bachelor's degree required from an accredited college or university in relevant field. Licensure not required Experience working with adults in need of mental health services and their families. Responsibilities: Monday-Friday (8:00 a.m. - 5:00 p.m.) Provide individual, group, and family counseling services. Deliver services consistent with program methodology and standards; demonstrate flexibility in support of the agency's countywide mission. Provide services that encourage increased social support and the use of natural support systems for individuals and families. Provide therapy that is culturally competent, strength-based, and solution-focused, aligned with the goals set by the individual or family. Deliver solution-focused therapy consistent with evidence-based practices. Use respectful, strength-based language and actions with individuals and families; discuss cases with supervisors and peers appropriately. Assist individuals and families in developing SMART goals (specific, measurable, attainable, realistic, and time-bound). Recognize and apply interventions, or make appropriate referrals, to address co-occurring diagnoses. Meet a productivity standard of 60% and a minimum of 100 client hours per month. Accomplish individual goals. Additional responsibilities as assigned. Apply or send resume to *********************.

Empath Health is currently seeking a dedicated and compassionate Social Worker to join our team in Pinellas Park, FL to provide comprehensive medical and social services that allow seniors to remain safe and independent in their communities. You will make a direct impact on the lives of older adults and their families while helping shape the future of integrated senior care. What is PACE? The Program of All-Inclusive Care for the Elderly (PACE) is a unique care model designed to help older adults remain independent and safe in their own homes. • Relationship-Based Care with Real Impact: Build lasting connections with participants, supporting their independence and mobility-this is a meaningful alternative to inpatient rehab or traditional outpatient care. • Team-Driven, Preventive Focus: Collaborate with physicians, nurses, social workers, and other clinicians in a true interdisciplinary care model focused on prevention and holistic well-being. Why Join Empath Health? Competitive salary Full benefits: medical, dental, vision, life insurance, and retirement with match 5+ weeks PTO and employee wellness programs CEU support and tuition reimbursement Mission-first, people-centered culture committed to Full Life Care What You'll Do Under the supervision of the Operations Manager and/or Social Worker Supervisor, plans, organizes and implements social services to PACE participants and families. Responsibilities include but are not limited to: assessment, treatment, teaching and counseling of participant, caregiver or other appropriate representatives. The Social Work interventions could include individual participant contacts; appropriate collateral contacts; participant and family education, assessment, and counseling; provision of resources; ongoing case management; advocacy to ensure participant and caregiver needs are met and addressed; and disenrollment procedures. The Social Worker is the liaison between the Interdisciplinary Team (IDT), caregiver representatives, and community agencies. Directly reports to the Social Worker Supervisor. Position Requirements Education and/or Experience: 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 experience in a healthcare setting on a multidisciplinary team is preferable (the one-year Masters level internship would meet this requirement) and has a current Florida license, or Is registered with the State of Florida as a Registered Intern actively working on licensure, or Is in the process of becoming a Registered Intern with the State of Florida and will have a registration within 90 days of hire. Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact. 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. What You'll Find at Empath Health At Empath Health, you won't just find a job-you'll find purpose, partnership, and possibility. As part of our mission-driven team, you'll deliver extraordinary Full Life Care that supports not only the body but also the heart and spirit of every person we serve. Mission with Meaning: Join a team dedicated to life-changing care, delivered with dignity and empathy. Belonging & Connection: Work in a culture where every voice matters and collaboration drives success. Growth & Support: We invest in your development with resources, training, and career advancement opportunities. Diversity is Our Strength: We embrace and celebrate different perspectives, backgrounds, and experiences. Together, we serve. Together, we grow. Together, we bring empathy to life.

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

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

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Since its founding in 2008, America's 1st Choice has generated significant membership growth by developing effective engagement programs and building strong provider relationships in the Florida market. America's 1st Choice operates as a wholly-owned subsidiary of Elevance Health. The Social Worker is responsible for identifying and linking members with social and community resources, ensuring psychosocial assessment and related care coordination while supporting members ability to manage his/her chronic illness. How You Will Make an Impact: Primary duties may include, but are not limited to: * Provides member education and outreach as appropriate on plan specific benefits and how to use them. * Utilizes knowledge of available community, government, and/or client resources needed to address member's limitations and support interventions in the management of the member's chronic condition or special needs. * Assesses short-term and long-term needs. * Assists in the establishment of case management goals, correctly prioritizes goals, and executes plan to achieve goals. * Have a thorough understanding of members needs when accessing Federal, State, or local assistance or in understanding any governmental assistance available to members as applicable. * Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. * Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities. * Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs. * Facilitates and coordinates behavioral health resources as individual member needs are identified. * Establishes a relationship with member, family, physician(s), and other providers to determine use of benefits and community resources. * Acts as liaison and member advocate between the member/family, physician and facilities/agencies. * Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via standardized Social Work Psychosocial evaluation methods, processes and tools while maintaining accurate record of activities. Minimum Requirements: Requires a BS or MS in Social Work and a minimum of 3 years experience in case management and a minimum of 1 year experience working with aged or disabled populations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MS in Social Work (MSW) preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Healthcare Role (Non-Licensed) Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Since its founding in 2008, America's 1st Choice has generated significant membership growth by developing effective engagement programs and building strong provider relationships in the Florida market. America's 1st Choice operates as a wholly-owned subsidiary of Elevance Health. The Social Worker is responsible for identifying and linking members with social and community resources, ensuring psychosocial assessment and related care coordination while supporting members ability to manage his/her chronic illness. How You Will Make an Impact: Primary duties may include, but are not limited to: Provides member education and outreach as appropriate on plan specific benefits and how to use them. Utilizes knowledge of available community, government, and/or client resources needed to address member's limitations and support interventions in the management of the member's chronic condition or special needs. Assesses short-term and long-term needs. Assists in the establishment of case management goals, correctly prioritizes goals, and executes plan to achieve goals. Have a thorough understanding of members needs when accessing Federal, State, or local assistance or in understanding any governmental assistance available to members as applicable. Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. Assists members to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities. Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs. Facilitates and coordinates behavioral health resources as individual member needs are identified. Establishes a relationship with member, family, physician(s), and other providers to determine use of benefits and community resources. Acts as liaison and member advocate between the member/family, physician and facilities/agencies. Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified via standardized Social Work Psychosocial evaluation methods, processes and tools while maintaining accurate record of activities. Minimum Requirements: Requires a BS or MS in Social Work and a minimum of 3 years experience in case management and a minimum of 1 year experience working with aged or disabled populations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: MS in Social Work (MSW) preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Healthcare Role (Non-Licensed) Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999. Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision. Summary Position Highlights: * Assists with discharge planning. * Provides education and information to patients and caregivers related to the various community levels of post-acute care. * Facilitates patient and family in facility selection. * Provides clerical assistance with placements to post-acute care services (faxing/calling/packet creation) for skilled nursing facilities, inpatient rehabilitation facilities and hospices. * Navigation of the EMR in order to extrapolate relevant clinical data necessary for placement referrals. * Utilizes discharge planning software. * Maintains a database and working knowledge of community resources pertinent to the oncology population. * Offers information and referral services. * Provides information on general cancer resources, transportation resources and other community resources as appropriate. * Coordinates lodging referrals to Hope Lodge and other lodging resources. * Coordinates transportation requests using community agencies. * Performs miscellaneous duties as required. Responsibilities: * Anticipate and coordinate referrals to community-based organizations, to ensure the timely continuation of a patient's treatment plan or discharge following an acute care admission. * Collaborate effectively with medical team. * Complete all documentation and reporting requirements. Credentials and Qualifications: * BSW from CSWE approved school * Experience with disability management is highly preferred * Must have clear written and verbal communication skills and basic competence in various computer applications Share:

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: *****************************************

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.

Social Worker Join our dynamic healthcare team as a Social Worker, where you'll play a critical role in delivering high-quality psychosocial support to patients and their families. In this position, you will conduct comprehensive assessments, collaborate with medical professionals, and implement effective interventions to enhance patient care. Your expertise will help identify barriers and provide essential resources, ensuring optimal health outcomes in line with JHACH policies and regulatory standards. Key Responsibilities: * Perform in-depth psychosocial assessments to address the social and emotional needs impacting patient treatment and recovery. * Conduct risk assessments, including suicide risk evaluations, to inform safety recommendations for the medical team. * Facilitate referrals and connect families with community resources to enhance care coordination and alleviate psychosocial stress. * Deliver therapeutic interventions, including crisis intervention, grief counseling, and psychoeducation, helping patients build healthy coping strategies. * Collaborate with the healthcare team to create personalized care plans that address psychosocial obstacles hindering discharge. * Maintain accurate electronic documentation and data collection, adhering to regulatory requirements. * Engage with team members to communicate patient needs, interventions, and insights during meetings and rounds. Qualifications: * Master's Degree in Social Work. * Completion of JHACH's intern program or a comparable internship in a healthcare setting. * Excellent listening, verbal, and written communication skills. * Proficient in electronic medical record documentation. Take the next step in your career and make a meaningful impact on patient lives by joining our compassionate healthcare team! Salary Range: Minimum /hour - Maximum /hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Job DescriptionDescription: Summary/Objective The Licensed Social Worker provides specialized, person centered support to patients and their families. As part of an interdisciplinary team, the social worker conducts biopsychosocial assessments, develops individualized care plans, provides counseling, and connects patients with essential community resources. Essential Functions Accept Clinic referrals from physicians, support staff and patients. Assess the medically related social, emotional, financial, environmental, and health care needs of patients. Perform and maintain required documentation in a timely, accurate and concise manner according to Clinic standards. Provide direct Social Work services of individual, family, and group counseling to patients with a variety of physical and cognitive needs, to assist them in their adjustment to treatment and altered lifestyle. Operate as Patient Case Manager for all multidisciplinary patients and collaborate with members of the interdisciplinary team. Participate in Quality Assurance Programs to ensure desired outcomes. Participate in educational and professional activities for the enhancement of self, co-workers, and the community. Work Environment & Physical Demands Office environment. Ability to work and make decisions independently and related in a professional manner Travel No travel is expected for this position. Requirements: Required Education and Experience MSW graduate of an accredited School of Social Work. One-year experience in a health care setting. Knowledge of Medicaid and Medicare system. Florida Licensed Clinical Social Worker.

Job Description LICENSED CLINICAL SOCIAL WORKER - LCSW FLSA: EXEMPT Duties/Responsibilities: Deliver individual, group, and family therapy sessions, including crisis intervention. Conduct thorough psychosocial assessments and develop tailored treatment plans for patients. Collaborate with medical staff to ensure a comprehensive, integrated approach to care. Provide case management services, make referrals to resource agencies, and offer feedback to ensure coordinated support for patients. Oversee staff scheduling, caseload assignments, and professional development initiatives. Design and implement behavioral health programs aligned with the FQHC's mission, while monitoring outcomes and recommending enhancements based on patient and community needs. Skilled in providing individual, group, and family therapy, with expertise in conducting psychosocial assessments and creating effective treatment plans. Stay updated on trends, best practices, and behavioral health regulations to guide program improvements. Ensure compliance with all relevant federal, state, and local regulations, including HIPAA, and maintain accurate and timely clinical documentation. Participate in audits, quality assurance reviews, care management meetings, and team discussions to uphold service standards. Develop partnerships with community organizations to enhance patient resources and support. Advocate for patient needs within the organization and the healthcare system. Represent the behavioral health department in meetings, initiatives, and strategic planning. Create and lead staff training programs on behavioral health topics, serving as a clinical resource and mentor for the team. Provide crisis intervention and brief treatment sessions when required. Perform additional tasks as needed to support the centers. Required Skills/Abilities: Excellent verbal and written communication skills. Excellent interpersonal and customer service skills. Excellent organizational skills and attention to detail. Strong knowledge of crisis intervention techniques and strategies. Adept at interpreting and applying instructions delivered in various formats, including written, oral, and scheduled. Comprehensive understanding of healthcare regulations, including HIPAA, and experience ensuring compliance with federal, state, and local behavioral health laws. Detail-oriented in maintaining accurate and timely clinical documentation, with familiarity in electronic health record (EHR) systems and data management. Flexible and adaptable to evolving regulations, technologies, and organizational priorities, with the capacity to handle multiple responsibilities in a dynamic healthcare setting. Excellent time management skills with a proven ability to meet deadlines. Competent in preparing routine reports, speaking effectively, and solving practical problems with limited standardization. Strong analytical and problem-solving skills. Ability to prioritize tasks and to delegate them when appropriate. Ability to function well in a high-paced and at times stressful environment. Must be able to effectively manage workflow and maintain high-quality standards in environments where staffing levels may be below ideal, demonstrating the ability to prioritize tasks and collaborate with the team under pressure. Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more. Proficient with Microsoft Office Suite or related software. Education and Experience: Master's Degree in Social Work is required. Current Florida LCSW license. Experienced in substance abuse counseling and knowledgeable in interpreting documents such as safety rules, operational instructions, and procedure manuals. BLS is required Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Must be able to travel to various center locations as required. Job Posted by ApplicantPro

Licensed Clinical Social Worker (LCSW) General Description Licensed Clinical Social Workers (LCSW) at Premier Community HealthCare Group (PCHG) provide patients with access to behavioral health counseling and essential community resources. LCSWs serve patients facing a range of challenges, including mental illness, abuse, addiction, family instability, and other personal issues. This role helps diagnose, treat, and manage acute and chronic behavioral health conditions while promoting mental wellness and strengthening community well-being. LCSWs collaborate closely with a multidisciplinary team to support the whole health of the patients served in our Dade City Location. Essential Duties & Responsibilities * Maintain a productive daily schedule * Conduct diagnostic evaluations, review medical histories, and provide therapy services * Communicate with other providers, school personnel, or agencies when needed for crisis intervention * Document patient encounters in the Electronic Health Record (EHR) within 48 hours * Review and address tasks daily; enter billing charges promptly * Educate patients on accessing community resources and navigating life with disabilities * Consult with fellow LCSWs and Behavioral Health leadership to ensure quality care * Provide counseling, diagnostic, and case management services to children, teens, and adults * Maintain confidentiality and uphold HIPAA requirements * Communicate changes that impact patient flow and site operations * Support community outreach initiatives and promote Premier's mission * Uphold Premier's core values and contribute to quality improvement (QI/QA) efforts * Perform other related duties as assigned Knowledge, Skills & Abilities * Understanding of clinical documentation and medical terminology * Strong communication-verbal, written, and clinical writing * Excellent interpersonal and customer service skills * Ability to perform repetitive tasks and manage multiple priorities * Demonstrated empathy, cultural sensitivity, and ethical conduct * Ability to collaborate effectively with multidisciplinary clinical teams * Strong grammar, spelling, documentation accuracy, and organizational skills Qualifications * Master of Social Work (MSW) from an accredited program * Current Florida Social Work License (LCSW) * Current Basic Life Support (BLS) certification * Two years of experience in counseling and resource coordination in community healthcare preferred * Ability to maintain Epic certification and annual compliance requirements Working Conditions & Physical Requirements * Lift 20 lbs. regularly and 30-50 lbs. occasionally * Sit for extended periods * Frequent use of computer and exposure to digital screens * Potential exposure to contagious/infectious diseases * Ability to travel between PCHG sites as needed

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!

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: *****************************************

Position Title: Care Coordinator, Acute Social Worker II Site/Department: Orlando Health Bayfront Cancer Institute Location: St. Petersburg, Florida 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. 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. 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.

Full-time Description Summary/Objective The Licensed Social Worker provides specialized, person centered support to patients and their families. As part of an interdisciplinary team, the social worker conducts biopsychosocial assessments, develops individualized care plans, provides counseling, and connects patients with essential community resources. Essential Functions Accept Clinic referrals from physicians, support staff and patients. Assess the medically related social, emotional, financial, environmental, and health care needs of patients. Perform and maintain required documentation in a timely, accurate and concise manner according to Clinic standards. Provide direct Social Work services of individual, family, and group counseling to patients with a variety of physical and cognitive needs, to assist them in their adjustment to treatment and altered lifestyle. Operate as Patient Case Manager for all multidisciplinary patients and collaborate with members of the interdisciplinary team. Participate in Quality Assurance Programs to ensure desired outcomes. Participate in educational and professional activities for the enhancement of self, co-workers, and the community. Work Environment & Physical Demands Office environment. Ability to work and make decisions independently and related in a professional manner Travel No travel is expected for this position. Requirements Required Education and Experience MSW graduate of an accredited School of Social Work. One-year experience in a health care setting. Knowledge of Medicaid and Medicare system. Florida Licensed Clinical Social Worker.