Social Worker II

About the Role

The Social Worker facilitates patient care through resource coordination, ensuring optimal health, appropriate care access, and patient self-determination. They assess patient transition needs, identify at-risk individuals, and conduct psycho-social assessments to promote timely discharge and prevent readmissions.

Responsibilities

• Perform complex psycho-social assessments and interventions.
• Assist with cases involving adoption, abuse, and neglect, including referrals to agencies.
• Oversee and implement transition plans, leading multidisciplinary care conferences.
• Communicate care plans with patients, families, and healthcare teams, ensuring post-acute needs are met.
• Ensure accurate documentation in case management systems and maintain patient information.
• Lead population care efforts, ensure regulatory compliance, and provide education to stakeholders.
• Perform related duties as needed to support patient care and team performance.

Requirements

• Master's of Social Work (MSW) and active licensure/certification.
• Preferred: 2+ years of acute hospital experience and Accredited Case Manager (ACM) credential.

Skills

• Strong assessment, care coordination, communication, and documentation skills.