Care Management Social Worker

Coordinating patient care across the continuum to ensure safe transitions and appropriate resource utilization Conducting clinical and psychosocial assessments to develop individualized care plans Collaborating with physicians, nurses, social workers, and community partners to optimize patient outcomes Educating patients and families about care plans and post-acute services Arranging post-acute services and addressing barriers to care Documenting care activities thoroughly in the EMR Upholding compassionate, patient-centered values in all interactions Role Care Manager (PRN/As Needed) Responsibilities Include Coordinating patient care across the continuum to ensure safe transitions and appropriate resource utilization Conducting clinical and psychosocial assessments to develop individualized care plans Collaborating with physicians, nurses, social workers, and community partners to optimize patient outcomes Educating patients and families about care plans and post-acute services Arranging post-acute services and addressing barriers to care Supporting complex discharge planning Documenting care activities thoroughly in the EMR Upholding compassionate, patient-centered values in all interactions Qualifications And Skills Knowledge of care coordination, discharge planning, and resource management Strong assessment, communication, and collaboration skills Ability to educate and support patients and families Commitment to patient advocacy and compassionate care #J-18808-Ljbffr