Care Coordinator, Acute Social Worker II
Position SummaryCollaborates 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.
Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals and revising the care plan as indicated.
Refers patients to education regarding the healthcare delivery and reimbursement systems, prescription drug programs, health & wellness programs, community agencies, public and private organizations, housing options, and other services, as appropriate.
Participates in clinical outcome measurement to include the identification of strategies that promote population health.
Ensures patient safety in the performance of job functions to include the implementation of policies, procedures, and standards to support the assigned duties.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
Maintains compliance with all Orlando Health policies and procedures.
QualificationsEducation/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 experienceAbout Bayfront Health St.
PetersburgSituated in the heart of downtown St.
Petersburg, Bayfront Health St.
Petersburg is a 480-bed, comprehensive emergency, medical and surgical acute-care facility that has been serving the St.
Petersburg community for over 110 years.
The hospital's areas of clinical excellence include heart and vascular, surgical services, rehabilitation services, neurosciences and maternity care, and - as home to the only state-accredited Level II Adult Trauma Center in the St.
Petersburg region - emergency services and trauma care.
Bayfront Health St.
Petersburg also offers a DNV-GL Comprehensive Stroke Center, the only Level IV Epilepsy Center in Pinellas County, and, in partnership with Johns Hopkins All Children's Hospital, one of only 13 state-approved Level III Regional Perinatal Intensive Care Centers (RPICC).
Bayfront Health St.
Petersburg is part of the Orlando Health system of care, which includes 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100
primary care practices and more than 60 outpatient facilities that span Florida's east to west coasts and beyond.
Collectively, we honor our over 100-year legacy by providing care for more than 142,000 inpatient and 3.
9 million outpatient visits each year.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life.
We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions.
Orlando Health Is Your Best Place to Work is not just something we say, it's our promise to you.
Recommended Skills Care Coordination Clinical Works Data Collection Diseases And Disorders Health Care System Interpersonal Skills Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
external-apply-email-saved').
on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3n8h96yp1zkdb329pw', 'ExternalApply-j3n8h96yp1zkdb329pw'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
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.
Contributes to problem solving within the team through communication, collaboration, data collection, obtaining consensus and evaluating outcomes of treatment options to include tracking patient progress towards care plan goals and revising the care plan as indicated.
Refers patients to education regarding the healthcare delivery and reimbursement systems, prescription drug programs, health & wellness programs, community agencies, public and private organizations, housing options, and other services, as appropriate.
Participates in clinical outcome measurement to include the identification of strategies that promote population health.
Ensures patient safety in the performance of job functions to include the implementation of policies, procedures, and standards to support the assigned duties.
Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
Maintains compliance with all Orlando Health policies and procedures.
QualificationsEducation/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 experienceAbout Bayfront Health St.
PetersburgSituated in the heart of downtown St.
Petersburg, Bayfront Health St.
Petersburg is a 480-bed, comprehensive emergency, medical and surgical acute-care facility that has been serving the St.
Petersburg community for over 110 years.
The hospital's areas of clinical excellence include heart and vascular, surgical services, rehabilitation services, neurosciences and maternity care, and - as home to the only state-accredited Level II Adult Trauma Center in the St.
Petersburg region - emergency services and trauma care.
Bayfront Health St.
Petersburg also offers a DNV-GL Comprehensive Stroke Center, the only Level IV Epilepsy Center in Pinellas County, and, in partnership with Johns Hopkins All Children's Hospital, one of only 13 state-approved Level III Regional Perinatal Intensive Care Centers (RPICC).
Bayfront Health St.
Petersburg is part of the Orlando Health system of care, which includes 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100
primary care practices and more than 60 outpatient facilities that span Florida's east to west coasts and beyond.
Collectively, we honor our over 100-year legacy by providing care for more than 142,000 inpatient and 3.
9 million outpatient visits each year.
Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life.
We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions.
Orlando Health Is Your Best Place to Work is not just something we say, it's our promise to you.
Recommended Skills Care Coordination Clinical Works Data Collection Diseases And Disorders Health Care System Interpersonal Skills Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
external-apply-email-saved').
on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3n8h96yp1zkdb329pw', 'ExternalApply-j3n8h96yp1zkdb329pw'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
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