Overview: Fulltime, benefits eligible role Mon-Fri 8:00am - 5:00pm Job Description Summary: Assists patients and families with complex medical and behavioral health needs to navigate uneventfully, efficiently, and as effectively as possible through the course of their illness to improve or maintain social, emotional, functional, and physical health. Practices professional social work and promotes patient advocacy in accordance with the NASW Code of Ethics for Social Work. Job Description: Essential Functions: Functions as a member of an interdisciplinary team and provides care coordination services to patients and their families through screening and identification of patients, outreach to primary care physicians, specialty physicians, and other service providers, completion of the Health Risk Assessment, and assisting with the development of a family-centered plan of care. Facilitates communication and collaboration amongst the healthcare team. Provides consultation, education, and training to staff regarding psychosocial issues that impact the delivery of optimal health care services. Participates in orientation and continuing education of staff and students as appropriate. Develops patient’s/family self-management skills through education and resource provision. Manages transitions between settings, caregivers, and providers. Monitors and follows-up across the continuum of care.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees