ED Care Coordinator/Social Worker
Core
Early identification, assessment, and coordination of care for patients with complex health and social needs in the Emergency Department and community.
Role type
Senior IC social worker (care coordination)
Builds
Person-centred care plans and safe discharge pathways for complex cases
Domain
Healthcare / Social Work
Required skills
Psychosocial assessment, care coordination, case management, discharge planning, community liaison, interdisciplinary collaboration
Preferred skills
Experience with homelessness, housing instability, substance use, mental health, disability, aged care, family violence
Technologies
None stated
Responsibilities
Identify and engage eligible ALERT patients; Undertake comprehensive psychosocial and functional assessments; Develop and evaluate person-centred care plans; Provide discipline-specific clinical management and discharge planning; Deliver outreach care coordination and case management post-discharge; Coordinate health and social care services with clients, families, and community organisations; Support transitions between hospital and community-based care
Seniority
Senior, hands-on IC