The Social Worker, LMSW is responsible for providing direct services to patients/families by collaboration with physicians and other hospital personnel. Daily assignments may include assessing the patient's ability to participate actively in their medical care post discharge, educating patients/family and referring them to the appropriate community resources, and remaining up to date on resources available for patients/families. This role also facilitates referrals and transfers to nursing homes, skilled nursing facilities, rehab, and long-term acute care facilities, coordinating transportation as needed. The Social Worker arranges for durable medical equipment, out-patient services, Home Health and/or Hospice care, completes high-risk screens and length of stays screens, and provides therapeutic services including chemical dependence assessments, mental health assessments, advanced illness planning, and chronic disease management. They utilize crisis intervention and problem-solving skills to facilitate and enhance patient and family’s ability to meet acute, and ongoing medical, and psychosocial needs. Additionally, the Social Worker completes Home Health Visits and assessments timely for patients referred from UMC Home Health, develops treatment plans, participates in unit huddles to identify discharge needs, and ensures timely and complete documentation in Cerner.
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Job Type
Part-time
Career Level
Mid Level