Care Coordination Social Worker: Transitions & Discharge Lead

Independence Health System; Latrobe (Westmoreland County); Vor Ort; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Independence Health System in Latrobe, PA seeks a dedicated Social Worker to plan, organize, and direct clinical case management for assigned patient populations, directing effective discharge planning and resource coordination.

The role involves leading Collaborative Care Rounds, ensuring LEAN process adoption, maintaining patient confidentiality, and advocating for patient and family needs within a multidisciplinary team.

Qualifikationen

• Masters or better in Social Work.
• Licensed or eligible for social work practice.
• Experience in acute care and case management.
• Ability to coordinate post-acute discharge planning.
• Strong communication and documentation skills.

Aufgaben

• Assess and plan care for assigned patients.
• Coordinate transitions of care and discharge planning.
• Lead Collaborative Care rounds and liaise with care teams.
• Document patient care and maintain confidentiality.
• Provide crisis management and community resource linkage.
• Promote Lean processes and quality improvement.

Kenntnisse

Case management

Discharge planning

Collaborative care

Documentation

Communication skills

Ausbildung

Master of Social Work (MSW)

Tools

Midas system

Jobbeschreibung

Independence Health System in Latrobe, PA seeks a dedicated Social Worker to plan, organize, and direct clinical case management for assigned patient populations, directing effective discharge planning and resource coordination.

The role involves leading Collaborative Care Rounds, ensuring LEAN process adoption, maintaining patient confidentiality, and advocating for patient and family needs within a multidisciplinary team.