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Clinical Social Worker Case Management PRN Days

Req #: 17008194
Location: NEW SMYRNA, FL
Job Category: Care Management
Organization: Florida Hospital New Smyrna


Work Hours/Shifts

PRN Days


Florida Hospital New Smyrna

Since 1954, Florida Hospital New Smyrna (formerly Bert Fish Medical Center) has served as the community hospital for Southeast Volusia County. Our more than 700 employees use an impressive array of technology and years of knowledge to provide exceptional care for every patient – every day. We offer a wide range of services, including a surgery program, radiology, an oncology center, cardiovascular services, a wound care center, outpatient diagnostic services, and one of the busiest emergency departments of any hospital our size.


You will be responsible for:

  • Strong knowledge regarding Social Services and Care Management processes in preadmission, emergency department, outpatient/ambulatory services, and hospital acute short term care, as well as post-acute care services. 
  • Is responsible for providing crisis intervention and/or community linkage for patients and families who are experiencing significant emotional, social, environmental, or financial stress due to hospitalization, acute, chronic, or terminal illness and/or who need help in meeting their continuing care needs.
  • Evaluates all Social Service referrals and identifies discharge planning needs, to include documentation of the patient discharge assessment in accordance with established guidelines and or hospital polices and processes; services to patients in the hospital acute care setting, outpatient services, and outpatient/emergency department.
  • Responsible for the facilitation and compliance in relations to CMS or state specific requirements or guidelines for PASSR forms for Skilled Nursing/nursing home placement.
  • Initiate and complete the level 1 screen for serious mental illness and/or intellectual disability for all skilled nursing facility placement.
  • Systematically gathers pertinent psychosocial data for high risk hospital inpatients whereby patient and family psychosocial needs can be identified, and an appropriate discharge plan can be developed.
  • Coordinates with physicians, case management staff, and other clinical staff in assisting patients and their families in understanding, accepting, and following medical recommendations.  Identifies barriers to continuity of care, and negotiates with insurances/third party payers to offer the patient appropriate level of care and services.
  • Assists the patient/family in investigating eligibility or application process for hospital charity, Medicaid or SSI through HHS; a case referral to hospital financial counselor services, when necessary.
  • Participates in patient, and or patient/family conferences within the hospital setting.
  • Provides counseling, advocacy, and linkage to post- acute external care resources.
  • Facilitates the restoration of patients to social and health adjustment within their capability.
  • Refers patients and families to community-based support groups, when appropriate; leader for hospital setting support groups.
  • Incorporates social, emotional and spiritual aspects of care into the patient’s plan.
  • Acknowledges and addresses the impact of cultural values and beliefs, including view on illness, disability and death and incorporates into the assessment and plan of intervention.
  • Demonstrates competency in knowledge base of community resources to address identified needs.
  • Coordinates end or life palliative, and or pastoral care services as appropriate for the terminal patient or end stage patient. 


What will you need?

  • Masters of Social Work
  • Licensed in Clinical Social Worker
  • Minimum of three (3) years of MSW, Licensed Clinical Social Work experience, hospital and or community-based
  • Work experience in an acute/medical or mental health setting ( 2 years minimum) or Community-based field worker experience in the field of Social Services for CPS/APS systems (2 years minimum)

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