Inpatient Social Work, Care Transitions

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. As a core member of the interdisciplinary care team, the social worker effectively collaborates to actively address the coordination of postacute care services and the provision of psychosocial support services to patients and families. Serves as a resource for the health care team on appropriate and effective disposition that reduces the length of stay and readmission. Job Description: Assessment and Planning: As a member of the interdisciplinary care team, identifies high-risk psychosocial factors of patients/families that impact status and discharge planning. Care Coordination/Care Transitions As a member of the Care Transitions, the inpatient social worker collaborates with care providers and third-party payors to ensure that all appropriate services and resources are utilized in a timely and efficient manner. Actively participates in multidisciplinary rounds (MDRs) and care conferences on assigned units and assists with documenting all pertinent information in the medical record. • Documentation Document evaluations and ongoing work in a timely and comprehensive fas...