Position Summary :
Facilitate patient continuity of care as appropriate through coordination / implementation of services to ensure a smooth continuum of care.
Advocate and liaison for patients and families, helps formulate resources for financial and community needs.
Responsibilities
- Liaison for patient / family, treatment team and external providers.
- Schedules / facilitates patient and family conferences as indicated to discuss plan of care.
- Serves as patient / family advocate.
- Performs complete psychosocial assessments as indicated.
- Provides on-going patient assessments according to clinical and ethical standards.
- Assures patient is being served at the most appropriate level of care.
- Promotes efficient coordinated care with multidisciplinary treatment team including external providers.
- Facilitates / coordinates appropriate patient level of care through coordination / implementation of services to ensure a smooth continuum of care.
- Utilizes community resources and support services, providing referrals as needed.
- Utilizes cost management strategies by reducing readmissions, inappropriate ED utilization, coordinating financial resources, and identifying alternate resources for funding as needed.
- Verifies completeness of patient and family education / training.
- Maintains knowledge of regulatory standards and Quality Measures for all participating payers.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Perform other related duties as assigned or requested.
Qualifications
Minimum Education :
Masters’ degree from CSWE accredited graduate social work program .
Minimum Experience :
Two (2) years of experience.
Licensure Requirement :
Licensed Clinical Social Worker (LCSW) required.
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