Provides social services to patients with identified social, behavioral and/or mental-emotional needs in the acute and emergency department settings. Acts as a liaison with community provider agencies to develop care resource networks. Works with the multidisciplinary team to build effective care coordination planning for patients and their families.
Completes assessment and coordinates discharge planning for patients with social/ behavioral/mental- emotional needs.
Coordinates placement referrals for boarders, the homeless, and the under or uninsured and those with behavioral health needs, including substance abuse.
Coordinates the homeless discharge planning process, ensuring that the organization is in compliance with all requirements. Make sure departments have the resource tools to comply when social work or case management are not present. Maintains the homeless log and the clothing closet.
Rounds in the Emergency Department at least twice daily and enters contact information on communication board.
Provides crisis intervention to patients and their families in the acute and emergency setting.
Makes referrals to community agencies, APS/CPS, public guardian, hospice and other care providers needed to facilitate a smooth transition of care.
Builds community provider partnerships including clinics, first responders, non-profits, and county services to effectively address social needs as they present in our patient population.
Participates in rounding and morning huddles and works in collaboration with members of the multidisciplinary team.
Assists with post discharge follow-up on high risk patients and reaches out to high emergency department utilizers as needed.
Education: Masters degree in Social Work
Experience: 3-4 years of healthcare related experience; experience with county provider agencies and care coordination is preferred
Licenses & Certifications: California Licensed Clinical Social Worker (LCSW)
Required Skills & Knowledge: Excellent written and verbal communication skills. Ability to manage priorities and workflow. Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. Ability to deal effectively with a diversity of individuals at all organizational levels. Good judgement with the ability to make timely and sound decisions. Proficiency with computers and Microsoft excel.
Software Powered by iCIMS
www.icims.com