Social Worker LCSW Primary Care Medicare Advantage Clinic FT Days at AdventHealth

Date Posted: 11/18/2019

Job Snapshot

  • Job Schedule
  • Date Posted:
  • Job ID:
  • Job Family
    Care Management
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Medical Group East FL

Job Description


Social Worker LCSW Primary Care, Medicare Advantage Clinic FT Days: AdventHealth Medical Group East FL

Location Address: Daytona Beach, Fl

Top Reasons To Work At AdventHealth Medical Group East FL

  • Career Advancement
  • Tuition Reimbursement
  • Competitive Salary
  • Great team of co-workers that feel like family

Work Hours/Shift:

  • Full Time, Monday-Friday. 

You Will Be Responsible For:

  • Coordinates with the AHMG RN Case Manager for the patient in obtaining and negotiating resources to meet patient needs, as necessary.
  • Intentionally and systematically screens for all determinates of health
  • Interviews patients/families to complete a thorough and timely psycho-social assessment and to evaluate current support systems available to the patient and family.
  • Completes assessments, per department standards, based upon information from multiple sources including the patient, family, nursing staff, physician, as well as information discussed in outpatient multi-disciplinary rounds. Documented assessments confirm an understanding of the patient’s functional status and psycho-social needs.
  • Collaborates with the AHMG RN Case Manager to address barriers that may impact or delay the patient’s discharge plan.
  • Prepares for and participates in outpatient multi-disciplinary rounds for the purpose of updating the team on the plan/needs and to identify potential social work referrals. Appropriately prioritizes cases according to assessed needs.
  • Performs outpatient discharge planning/post-acute care coordination
  • 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.
  •  Adapts quickly to changes in patient status and will update the assessment and discharge plan as the patient’s situation warrants.  Stays abreast of changing social work clinical trends, regulatory matters and third-party payer requirements related to discharge planning and precertification of aftercare benefits.
What You Will Need:
  • Master’s degree in Social Work
  • LCSW (Florida licensure as applicable)
  • Case Management certification ACM, CCM is highly preferred
  • Proficiency in use of standard office equipment and utilizing Micorsoft Word and Outlook tools.

Job Summary:

Under general supervision of the AHMG (AdventHealth Medical Group) and Population Health and working directly in the AHMG Medicare Advantage clinic, in collaboration with the patient/family, physicians and the interdisciplinary team, the AHMG Social Worker ensures patient progression through the continuum of care in an efficient and cost-effective manner specifically for patients of the AHMG Medicare Advantage clinic.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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