The Medical Social Worker Care Coordinator is a member of the Care Coordination Department and educates healthcare team members and physicians about psychosocial issues, identified patient and family problems, and strategies to address them. The role applies specialized knowledge and advanced practice skills in assessment, treatment planning, implementation and evaluation, case management, mediation, counseling and supportive counseling, direct practice, information and referral, consultation, education, research, advocacy, community organization, and policy and program administration. The position does not apply specialized clinical knowledge or advanced clinical skills to assess, diagnose, or treat mental, emotional, or behavioral disorders, conditions, or addictions. The Care Coordinator integrates national standards for case management, including care coordination, compliance, and transition management. Transition planning begins at the initial patient encounter and is reevaluated throughout the hospital stay. The Care Coordinator arranges or ensures implementation and communication of transition plan elements with the healthcare team, patient, family or caregiver, and post-acute providers; conveys information needed for continuity of care and patient safety; verifies receipt; and provides an opportunity for questions or additional information needs.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed