Social Worker - Case Management

Job description

Shift: Days Job Type: Full Time: Responsible for facilitating appropriate admission types, assisting patients/families in the discharge planning process, and the identification and support of biopsychosocial, spiritual, financial, and cultural issues relevant to the patient's stay in the hospital. Supports the patient in ongoing self-care management and determination of meaningful post-acute care choices based on ongoing clinical need, safety, benefits, payment sources and patient desire. Works collaboratively with RN Clinical Care Coordinators, physicians, nursing staff, rehab team, pharmacy and lab to facilitate safe transition through acute services with appropriate lengths of stay, with successful discharges to best levels of post-acute care available to the patient. 1. Responsible for timely discharge planning and referrals to resources. 2. Responsible for protecting vulnerable persons. 3. Responsible for patient and family education about community resources pertinent to patient needs. 4. Evaluate each assigned patient, identifies social, emotional, cultural, financial and/or legal issues/problems, formulate and implement an appropriate treatment plan, provides ongoing casewo...