The Social Worker, LMSW is responsible for providing direct services to patients/families by collaboration with physicians and other hospital personnel. This role involves assessing the patient's ability to participate actively in their medical care post discharge, educating patients/family, and referring them to appropriate community resources. The Social Worker must remain up-to-date on available resources and facilitate referrals and transfers to various facilities such as nursing homes, skilled nursing facilities, rehab, and long-term acute care facilities. They will also coordinate transportation and arrange for necessary medical equipment, out-patient services, Home Health, and/or Hospice care. The position requires completing high-risk screens and length of stays screens, providing therapeutic services including chemical dependence and mental health assessments, advanced illness planning, and chronic disease management. Additionally, the Social Worker will utilize crisis intervention and problem-solving skills, complete Home Health Visits and assessments, develop treatment plans, participate in unit huddles, and ensure timely and complete documentation in Cerner.
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Job Type
Full-time
Career Level
Mid Level