LMSW Care Manager 8wk Contract 40hrs

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

• AdventHealth StaffFlex nurses are valued team members of AdventHealth who also want the flexibility to work contract assignments at one facility or float within multiple hospitals in 9 states. A perfect fit for individuals who want the freedom to travel but believe in our mission, StaffFlex provides team members the opportunity to work across various units and more!

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

• Develops discharge plans with contingency plans to adapt to evolving patient care needs and ensures timely care coordination.
• Interviews patient and caregivers and reviews current and past medical records, including labs, medications, therapy notes, test results, and progress notes.

• Completes the Initial Evaluation for transition of care needs upon admission and documents according to policies.

• Ensures social work consults are completed for psychosocial needs, decision-making for patients lacking capacity, adjustment needs, and complex cases.

• Collaborates with the interdisciplinary team and hospital operations to resolve barriers to care plan achievement.

• Monitors readmission risk scores and coordinates mitigation interventions.

• Incorporates patient/family care goals and preferences into the transition of care planning and communicates to the multidisciplinary team.

• Discusses discharge options and post-hospital care providers with patients and families.

• Considers social determinants of health and applies risk mitigation interventions to meet individual patient needs.

• Assesses patient and family psychosocial risk factors through evaluations.

• Performs other duties as assigned.