All the benefits and perks you need for you and your family:
·Benefits from Day One
·Paid Days Off from Day One
·Career Development
·Whole Person Wellbeing Resources
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.
Schedule:Full Time
Shift: Days
The community you’ll be caring for: AdventHealth DeLand – 701 W Plymouth Ave., DeLand, FL 32720
The role you’ll contribute:
Works collaboratively across the region with community care nurses, physicians, staff and other health care professionals within the Central Division North Region and PHSO network, to provide care coordination across the health care continuum for patients within the Community Care/Ambulatory Care Coordination program. Serves as an integral member of the health care team who works to ensure members with complex issues or high utilization, navigate through the health care continuum while improving member/family experience and eliminate care gaps through addressing the social determinants of health. Coordinates a wide range of community-based and healthcare support services for members.
The value you’ll bring to the team:
·Assists in the identification of patient populations needing care coordination
·Works with families and patients on needs that may or will affect the patient’s health, including all dimensions of the social determinants of health such as, transportation issues, financial concerns, end of life planning, etc. in all community settings such as: members home, primary medical home (PCP/FQHC) etc, to eliminate fragmentation, duplication or gaps in health care.
·Identifies potential barriers related to patient’s home setting and self-care/management needs.
·Ensures open communication with patient and significant others.
·Discusses referrals with physician when appropriate.
·Collaborate with the Community Care team to evaluate patients’ medical and psychosocial condition and to assess patient needs.
·Coordinates with other disciplines and community resources.
·Discusses progress of patients with other members of AHCC team.
·The plan of care is consistent with safe, effective patient care and age.
·The urgency of psychological, social and emotional needs is determined, and the course of action is formulated to attain expected outcomes.
·Provides consultation to RN Care Managers regarding the impact of the psychosocial factors on illness.
·Identifies opportunities for improvement (at individual, program and hospital levels) and actively works with healthcare providers and the community care team to correct or improve results.
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
·Computer skills and experience with Microsoft Office programs, including Word, Excel, Outlook, and PowerPoint are required.
·Verbal and written skills necessary to effectively communicate with various members of the health care team, other health facilities, community health related organizations, various external parties and regulatory agencies.
·Ability to use office equipment such as telephone, personal computer, copier, fax machine, etc.
·Master’s degree in Social Work from an Accredited university
·Driver’s license required.
·Licensed clinical social worker (LCSW)
·Florida licensure as applicable.
Preferred qualifications:
·Population health experience preferred
·Complex ambulatory care experience preferred
·3 years of relevant work experience preferred
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.