In collaboration with Care Coordination staff, the Social Worker participates in assessing, planning, facilitating, and advocating for options and services that meet individual patients’ health care needs. Through communication and identification of available resources, the role promotes quality outcomes, patient satisfaction, and cost-effective care delivery. The position reports to the Manager of Care Coordination. The Social Worker recognizes the special needs and concerns of the populations served and adapts communication accordingly. The role collaborates with Care Coordination staff and multidisciplinary team members on discharge planning and arranging needed care at home or in an alternate setting. It provides support and counseling to patients and families addressing illness, catastrophic diagnoses, changes in living situations, and bereavement; establishes plans; and documents interventions and outcomes in the electronic record. The Social Worker also participates in multidisciplinary rounds and completes assessments to identify gaps in care, develop goals, and facilitate interventions and resources.
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Job Type
Part-time