The Social Worker facilitates care across the continuum through effective resource coordination, helping patients achieve optimal health, access care, and use resources appropriately while respecting their available resources and right to self-determination. The role assesses patients’ transition needs, including identifying and assessing those at risk for readmission, and conducts complex psychosocial assessments and interventions to support timely throughput, safe discharge, and prevention of avoidable readmissions. The position applies national case management standards by promoting appropriate length of stay, preventing readmissions, supporting patient satisfaction, and coordinating care to ensure that care is delivered in the right sequence and at the appropriate level. It also supports compliance with state and federal regulations, accreditation standards, and company policy; provides education to physicians, patients, families, and caregivers; and leads a patient population by service line and/or serves as a resource to the team on performance standards.
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Job Type
Full-time