Pool Social Work Case Manager

Intervenes with patients/families for psychosocial needs, assistance, support in coping with chronic acute terminal illness. Services may include consultation, discharge planning, education, counseling, advocacy, info referrals to meet the emotional, social and financial aspects of care. Provides crisis intervention to patients/families with psychosocial needs and coordinates, facilitates development of a discharge plan of care. Provides patient/family services via case finding referrals from physicians and healthcare team members. Serves as an expert, acts as a liaison between patients and community resources. Identifies patient and family psycho-social and environmental needs related to admission, diagnosis, treatment and discharge. Works collaboratively with other members of the interdisciplinary team in developing and implementing a comprehensive discharge plan. Makes appropriate referrals for to community services. May provide inpatient emotional support and counseling, crisis intervention, and bereavement services. Assesses and intervenes in situations involving child or elder abuse/neglect, domestic violence. Provides care and services to all patient groups: neonatal, infant, pediatric, adolescent, and adults.