This role focuses on guiding seamless patient transitions by creating individual care plans that blend clinical needs with patient and family values. The Social Worker will resolve critical psychosocial barriers as a subject-matter expert in crisis intervention, legal support, substance abuse, and adjustment needs to protect patient well-being. They will advocate for essential resources by proactively identifying community partnerships and systematically removing obstacles to post-discharge care. Additionally, the role involves partnering with interdisciplinary teams through continuous communication to evaluate health plans, optimize medical record documentation, and ensure every patient receives safe, high-quality care transitions.
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Job Type
Part-time
Career Level
Mid Level
Education Level
High school or GED