Job Description

Job Shift: Days

Job Type: Part Time

The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and interventions to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:

• Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
• Care Coordination by demonstrating throughput efficiency while assuring care is sequenced and provided at the appropriate level of care
• Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
• Education provided to physicians, patients, families and caregivers
• Participates in planning the social work component required in selected hospital programs
• Provides in-service education for staff
• Collaborate with community providers to develop educational resources appropriate for staff and patients/patient representatives

This individual’s responsibility will include the following activities:

a) complex psycho-social transition planning assessment and reassessment and intervention,

b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies,

c) care coordination,

d) implementation or oversight of implementation of the transition plan,

e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review,

f) making appropriate referrals to other departments,

g ) communicating with patients and families about the plan of care,

h) collaborating with physicians, office staff and ancillary departments,

i) assuring patient education is completed to support post-acute needs ,

j) timely, complete and concise documentation in Tenet Case Management documentation system,

k ) maintenance of accurate patient demographic and insurance information,

l) and other duties as assigned.

Required qualifications include:

Master in Social Work (MSW).

Must be currently licensed, certified, or registered to practice profession as required by law or regulation in state of practice or policy.

Active license for state(s) covered.

Preferred: Accredited Case Manager (ACM). Minimum of two years acute hospital experience preferred.

Required skills include:

• demonstrated organizational skills
• excellent verbal and written communication skills
• ability to lead and coordinate activities of a diverse group of people in a fast paced environment
• critical thinking and problem solving skills and computer literacy.

PHYSICAL DEMANDS:

-Lift/position up to 25 lbs. Push/pull up to 25 lbs of force.

-Frequent sitting. Moderate standing, walking, reaching, stooping, and bending

-Manual dexterity, mobility, touch, auditory to perform all the related duties of the position



Delray Medical Center Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Delray Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note Eligibility for benefits may vary by location and is determined by employment status