Social Worker II

The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable re-admissions.

• Complex psycho-social transition planning assessment and reassessment and intervention
• Assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies
• Care coordination, implementation or oversight of implementation of the transition plan,
• leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review
• Making appropriate referrals to other departments and communicating with patients and families about the plan of care
• Performs related duties as required.

Required

• Education: Master of Social Work.
• Certifications/Registrations/Licenses:
  • MSW.
  • Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
  • Active license for state(s) covered.

Preferred

• Experience: 2 years of acute hospital experience.
• Certifications/Registrations/Licenses: Accredited Case Manager (ACM)

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