Summary:
Allyon, Inc. is an established IT and Healthcare Services firm and we love what we do! It makes our day when we are able to help talented individuals achieve their career goals while a the same time helping our clients build quality teams. If you are interested in joining the Allyon Team, please apply or submit your resume for review today!
Job Title: Care Coordinator Social Worker
Duties & Responsibilities: The Care Coordination Social Worker (CC SW) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. Serves as a key resource for patients and serves as a consultant to the other care team members regarding patient's psychosocial and resource needs. In conjunction with the patient and physician, the CC SW will assess, coordinate, and implement a timely, safe patient discharge plan to the next appropriate level of care. Overall, the role integrates and coordinates the patients transitional care plan into their individualized discharge plans based on needs and resources available.
Specific functions within this role include:
Responsible for providing psychosocial assessments for patients to include timely and appropriate planning to advance the discharge plan.
Assists in relaying information about community-based service offerings (e.g.-indigent care referrals and assistance, specialty care or post-acute placements, elder assistance, etc.) and offers guidance to patients/families to assist with multi-system factors that affect patient/family psychosocial dynamics.
Serves as a specialist on issues related to psychosocial and discharge needs, end of life care planning, resource needs, etc. Will provide resource information necessary to aid patient/families in decision making up to and including support for end of life.
Will partner and offer feedback to the RN Case Manager concerning complex social determinants of health issues, situational dynamics, and social needs.
May have other duties assigned
Minimum Requirements:
Allyon |
Wellstar Health Systems |
Wellstar Health Systems |