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, as well as patients’ and families’ emotional, social, and financial needs. Working with patients, families, caregivers, and the interdisciplinary treatment team, the social worker arranges appropriate referrals and community services, documents discharge-planning actions, and helps develop and implement individualized plans of care. The role also supports patients and families who are having difficulty coping with changing medical conditions.
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Job Type
Full-time