Case Management Social Worker - York Case Management - Day

Job description

Schedule Full Time, Day Shift (80 hours biweekly) Hours: Monday - Friday, 8:00am - 4:30pm Rotation: Occasional weekend: General Summary: Plans, organizes and implements social work for patients and families. Works in a team model to address patient care needs. Essential Functions: - Assesses patients/families in need of psycho-social support throughout the patient’s hospitalization and assists patients who require care coordination or community resources referrals. Advocates for patient self-determination and appropriate level of care. - Identifies discharge plan by making arrangements for psycho-social, psychological and practical assistance across the continuum of care. Actively engages the patient and family in the assessment, problem solving and referral process including transfer and discharge plans. - Notifies patient/clinical team of potential referrals, documents on the medical record in a timely fashion: psycho-social assessments, identified plan, barriers, changes and progress toward plan completion. Notifies final outcome and patient satisfaction. - Interacts with the interdisciplinary team in the development of the treatment/discharge plan addressing the patient’s/famil...