The Social Worker identifies, assesses, plans, coordinates, implements, monitors, and evaluates options and services across the continuum of care for individuals in an assigned caseload. The role coordinates health care services on behalf of patients to promote care at the appropriate level, optimize clinical outcomes, and support satisfaction with services. It assigns primary responsibility for each aspect of the care plan among team members to avoid duplication and fragmentation. The Social Worker assesses and intervenes to address complex medical and clinical needs associated with illness, injury, or chronic illness and disease. The role coordinates the health care team to facilitate and expedite outcomes for patients and the physicians caring for them, and works with patients and the treatment team to establish goals and achieve optimal outcomes under individualized care plans. The Social Worker also works with the Almost Home Kids leadership team to support alignment with strategic goals and vision.
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Job Type
Full-time