Inpatient Care Management - Social Services - Job Opportunities
Core
Assess hospitalized patients to identify medical, psychosocial, functional, financial, and environmental factors affecting treatment and recovery; develop individualized care transition plans to facilitate safe discharge and post-acute care.
Role type
Inpatient Care Management Social Worker
Builds
Individualized care transition plans, discharge plans, and care coordination services
Domain
Healthcare / Social Work
Required skills
Psychosocial assessment, discharge planning, care coordination, resource referral, patient and family education, advocacy, knowledge of social determinants of health, clinical aspects of medical social work
Preferred skills
Current Social Work licensure (LMSW, LCSW), LPN/RN licensure, acute care hospital experience
Technologies
Advanced computer skills
Responsibilities
Conduct psychosocial assessments, develop care transition plans, coordinate post-acute services (home health, rehab, hospice), address social determinants of health (housing, transportation, insurance), educate patients and families, advocate for patient needs
Seniority
Entry to Mid-level, hands-on IC