Social Worker - Ft - Days

Job Summary:
Social Worker will organize and expedite a treatment plan of care for medically complex and difficult social issues related to hospital progression of care. The incumbent will identify discharge needs and develop a discharge plan, promote communication and collaborative coordination amongst care providers, and provide information and education on community resources. Additionally, the position will coordinate care of patients with clinical partners, provide intervention in cases of child/elder abuse/neglect and guardianship issues, and serve as a resource for treatment decisions surrounding end of life and Medical Power of Attorney.

• Collaborates with leadership to appropriately address concerns related to delays in discharge, barriers to discharge and trends noted.
• Develops, coordinates, and communicates discharge plans with the patient, family members and care team for medically complex and difficult social issues related to hospital progression. Documents assessment and overall discharge plan in medical record.
• Collaborates with contracted partners associated with financial needs to facilitate post-acute facility placement.
• Communicates activity status updates regarding treatment plan with clinical partners.
• Conducts psychosocial assessment as needed for development of appropriate discharge plan for medically complex and difficult social issues.
• Other duties as assigned.
• Assesses for long term and/or future patient care needs by identifying probable changes in level of independence or functional quality.
• Utilizes post-acute care facilities for safe and effective discharge planning.
• Facilitates meetings and comprehensive care planning with interdisciplinary team. Delegates work to support team members.
• Serves as a resource person related to treatment decisions surrounding end of life and Medical Power of Attorney.
• Provides information and education on community resources to patient and their families.
• Coordinates care of patients with clinical partners; helps patients advance towards realistic and desirable outcomes.
• Provides intervention in cases of child/elder abuse/neglect and guardianship cases.

• Bachelor’s degree in Social Work.
• A minimum of two years of experience in social work.
• Experience with computer technology, specifically experience with Windows based programs, e-mail, and Microsoft Word.

• Experience in a healthcare field.

• Case Management Certification strongly desired.