The Licensed Clinical Social Worker coordinates and implements post-discharge plans in close coordination with Case Managers, using the Extended Care Information Network (ECIN). The role manages patient discharge processes, advocates for patients, and facilitates referrals to community resources to support seamless transitions of care. The social worker assesses patients’ physical, psychosocial, cultural, and spiritual needs through observation, interviews, record review, and collaboration with the interdisciplinary team and caregivers. The position also assesses patients’ and families’ emotional, social, and financial needs; supports them in coping with changing medical conditions; and collaborates with the care team to develop and implement individualized plans of care. This is a PRN position, scheduled for five shifts in a six-week period, to cover call-offs, vacations, and other coverage needs. PRN employees are not eligible for benefits; the position offers a 15% differential on top of the base rate of pay.