Social Worker

Provides social work services to patients, families, and individuals. Implements interventions substantiated by assessment as appropriate to the needs of the patient/client system and consistent with available resources and payer network. Participates as part of the multi-disciplinary health care team. Advocates for patient involvement in the plan of care. Initiates and coordinates interventions with the activities of other members of the health care team. Provides resources to patients and families to ensure a timely discharge and to provide an appropriate link with post-acute care providers and services. Provides support and connection to additional services such as bereavement and loss, ethical issues, advanced directives, and end of life issues. Connects patients to appropriate agencies on issues of suspected abuse and neglect, domestic violence, guardianship, and other social matters. Collaborates with community agencies and institutions to plan continued care and to coordinate interventions. Documents activity according to department and program protocols or standards. Accountable for site specific KRA goal achievement as it relates to Care Coordination across the continuum. Participates in the orientation of new staff and/or education of social work students. Assists with execution of these documents as appropriate. Participates in legal proceedings as necessary to secure legal decision-makers. Completes all required continuing education to maintain licensure and increase knowledge within area of practice specialty.