Discharge Planning Social Worker - Care Coordination

Wellstar Health System; Austell (GA); On-site; USD 55,000 - 80,000; Full time

Job summary

Wellstar Health System seeks a Care Coordination Social Worker to assess transitional care needs, coordinate across the continuum, and engage with patients and families to ensure discharge plans meet needs. The role serves as a psychosocial resource for the care team and supports end-of-life planning as needed.

The CC SW will collaborate with RN Case Managers, physicians, and social work staff to develop timely, safe discharge plans and connect patients with community resources and post-acute

Qualifications

• Excellent written and verbal communication skills.
• Maturity, self-confidence, objectivity and a positive attitude.
• Strong assessment, interview, organizational and problem-solving skills.

Responsibilities

• Discharge planning and coordinating with care team to ensure timely transitions.
• Identify barriers to disposition and coordinate community resources.
• Assess psychosocial risk factors and available resources for discharge.
• Document progress and services in the electronic health record.
• Collaborate with patients, families and physicians to support the care plan.
• Provide guidance for end-of-life planning and post-acute referrals.

Skills

Verbal communication

Written communication

Problem solving

Organizational skills

Interpersonal skills

Education

Bachelor's Social Work

Master's Social Work - Preferred

Job description

Wellstar Health System seeks a Care Coordination Social Worker to assess transitional care needs, coordinate across the continuum, and engage with patients and families to ensure discharge plans meet needs. The role serves as a psychosocial resource for the care team and supports end-of-life planning as needed.

The CC SW will collaborate with RN Case Managers, physicians, and social work staff to develop timely, safe discharge plans and connect patients with community resources and post-acute