The Social Worker Case Manager collaborates with a multidisciplinary team to initiate and support discharge planning from admission, in compliance with Centers for Medicare & Medicaid Services (CMS) regulations. The role assesses psychosocial needs, identifies discharge barriers, coordinates community resources, manages patient cases, and maintains timely documentation in the electronic medical record. In collaboration with RN Case Managers, the Social Worker Case Manager supports resource coordination and non-clinical discharge tasks while leading the management of complex discharge needs that require clinical judgment. The position facilitates safe and appropriate transfers to the next level of care, including skilled nursing facilities, inpatient rehabilitation, long-term acute care, and long-term care, and arranges post-acute services such as home health and hospice. The role supports timely, patient-centered discharge planning and continuity of care.
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Job Type
Full-time