The Social Worker (BSW) is responsible for promoting patient-centered care by evaluating psychosocial needs and providing community service coordination for identified patient populations. As a member of a multidisciplinary health team, the BSW acts as a liaison between the patient and community resources/post-acute care providers. The BSW creates and facilitates the timely implementation of discharge plans and arranges post-acute interventions identified in the plan of care. The BSW facilitates patient movement across the continuum of care. The scope of this role includes primarily Med/Surg units. Here is some of what you can expect from being a Social Worker with us: In partnership with RN Case Manager, you will be responsible for ensuring the post-acute medical needs and level of care are appropriate You will be responsible for responding timely to referrals from RN Case Manager or other staff when risk factors for social determinants of health are identified You will perform thorough assessments and develop appropriate plans of care for high risk patients with discharge planning or psychosocial needs Your role will identify and address barriers to discharge and recovery including financial, emotional, psychosocial, medical, and spiritual You will provide education to patients and caregivers regarding community resources and post-acute level of care criteria, benefits, and coverage You will engage in community outreach and program development Your role will assist patients and caregivers with end of life issues, from advance directives to grief support You will provide psychosocial support to patients and caregivers for adjustment to patients' chronic and/ or terminal illness/death
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Job Type
Part-time
Career Level
Mid Level
Industry
Hospitals
Number of Employees
5,001-10,000 employees