The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable re-admissions.
- Complex psycho-social transition planning assessment and reassessment and intervention
- Assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies
- Care coordination, implementation or oversight of implementation of the transition plan,
- leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review
- Making appropriate referrals to other departments and communicating with patients and families about the plan of care
- Performs related duties as required.
Required
- Education: Master of Social Work.
- Certifications/Registrations/Licenses:
- MSW.
- Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy.
- Active license for state(s) covered.
Preferred
- Experience: 2 years of acute hospital experience.
- Certifications/Registrations/Licenses: Accredited Case Manager (ACM)
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Piedmont Medical Network is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.
At Piedmont Medical Network, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status