Works collaboratively with the care management team for coordinated patient care delivery across the continuum. Provides psychosocial clinical assessment, intervention, evaluation, consultation and education to patients/families as part of comprehensive care management services. Identifies high risk patients from a psychosocial/ financial perspective and provides information, support, counseling, care management, and referrals to appropriate resources. Serves as a liaison for complex transitions/discharges between the hospital and community agencies for the exchange of clinical and referral information. Contributes to training of social work professionals as part of the education program at LUHS.
Required: Masters Degree
Preferred: 1-2 years of previous job-related experience
Minimum Experience Details: Expected to have CMA certification within 3 years of hire.
Required: Licensed Social Worker
Preferred: Licensed Clinical Social Worker
Position Responsibilities: ASSESSMENT/INTERVENTION: Assesses patient's mental and social functioning by providing a psychosocial screen/ history, assessment, resource information, counseling and a discharge plan within 24 hours of referral. COUNSELING/COMMUNICATION/CONSULTATION: Provides counseling/interventions to patients and families in relation to social, psychological, financial, and family situations which will allow timely discharge or transition facilitation. DISCHARGE PLACEMENT: Facilitates and coordinates details of placement and actual discharge of complex discharges to appropriate agencies. QUALITY STANDARDS: Participates in departmental and hospital performance improvement, lean management, and quality programs. PROFESSIONAL DEVELOPMENT: Maintain current knowledge base of clinical social work and utilization standards and promotes quality/research initiatives.