CC Licensed Clinical Social Worker
About The Position
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 position requires expertise in discharge planning and community resource navigation, strong organizational skills, and the ability to use ECIN. The social worker assesses patients’ physical, psychosocial, cultural, and spiritual needs through observation, interviews, record review, and coordination with the interdisciplinary team and caregivers. The role supports patients and families coping with changing medical conditions and helps develop and implement holistic, individualized plans of care.
Requirements
- Master’s degree in Social Work.
- Licensed Clinical Social Worker.
- Knowledge of community resources used for discharge planning and hospital operations.
- Excellent communication and presentation skills.
- Knowledge of third-party payment systems and Medicare/Medicaid programs.
- Maintain current knowledge of community services through continuing education.
- Expertise in discharge planning and community resource navigation.
- Strong organizational skills and ability to use the Extended Care Information Network (ECIN).
- Commitment to patient advocacy.
Responsibilities
- Assess patients’ physical, psychosocial, cultural, and spiritual needs through observation, interviews, record review, and interaction with the interdisciplinary team and caregivers to determine appropriate referrals.
- Facilitate discharge planning with patients, families, and the treatment team, making necessary referrals and arrangements and documenting actions.
- Assess patients’ and families’ emotional, social, and financial needs and help arrange community resources to address them.
- Assess and reassess patients’ clinical and psychosocial status, premorbid status, community services used, and diagnosis and treatment plan following Case Management referral.
- Collaborate with the interdisciplinary team to develop and implement holistic, individualized plans of care.
- Provide support to patients and families who are having difficulty coping with changing medical conditions.
- Coordinate and implement post-discharge plans with Case Managers using ECIN.
- Advocate for patients and facilitate referrals to community resources.
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What This Job Offers
Job Type
Full-time
