Social Worker II

Job description

The Social Worker 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 for to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable re-admissions. - Complex psycho-social transition planning assessment and reassessment and intervention - Assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies - Care coordination, implementation or oversight of implementation of the transition plan, - leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review - Making appropriate referrals to other departments and communicating with patients and families about the plan of care - Performs related duties as required. Req...