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. Success requires expertise in discharge planning and community resource navigation, strong organizational skills, the ability to use ECIN, and a commitment to patient advocacy. The position assesses patients’ physical, psychosocial, cultural, and spiritual needs, as well as patients’ and families’ emotional, social, and financial needs. It works with patients, families, caregivers, and the interdisciplinary treatment team to plan care, arrange referrals, connect people with community resources, and support those coping with changing medical conditions.
Requirements
- Master’s degree in social work.
- Licensed Clinical Social Worker.
- Knowledge of community resources used for discharge planning and of 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.
Responsibilities
- Assess patients’ physical, psychosocial, cultural, and spiritual needs through observation, interview, record review, and coordination with the interdisciplinary team and caregivers to ensure appropriate referrals.
- Facilitate discharge planning with patients, families, and the treatment team; make needed referrals and arrangements; and document 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, diagnosis, and treatment plan in response to Case Management referrals.
- Collaborate with the interdisciplinary team to develop and implement holistic, individualized plans of care.
- Support patients and families who are having difficulty coping with changing medical conditions.
- Coordinate and implement post-discharge plans with Case Managers using ECIN.
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What This Job Offers
Job Type
Full-time
