MSW (Masters of Social Work)

Job Title

Round with interdisciplinary team members for the purpose of progression of care, consultation, collaboration and identification of patients requiring further evaluation, development or implementation of discharge plans or complex psychosocial issues. Conduct discharge planning evaluation and coordination of care. Document clearly, concisely and relevantly. Work with the Care Transitions Nurse, patient, and/or formal/informal support system to develop and/or contribute to a care plan appropriate for the patient. Provide Social Work intervention when appropriate. Educate patients and family members. Maintain effective collaborate communication with interdisciplinary team members. Develop and maintain community relations.