The Social Worker is responsible for coordinating the care of designated patients and families during a patient's hospital admission. The Social Worker coordinates the discharge plan from pre admission through discharge follow up. The Social Worker provides psychosocial assessment and updates that address the patient's evolving needs. The Social Worker establishes a plan

Assesses and creates a plan of care based on the psychosocial needs of the patient and family. Performs a comprehensive patient and family biopsychosocial spiritual assessment and initiates interventions as needed. Acts as a liaison to promote discussion between the patient, family, and medical team, to facilitate understanding of the patient's medical condition and treat

Conducts complete assessments, establishes appropriate plans, and initiates interventions within desired timeframes. Collaborates and negotiates effectively with patient, family, and team while striving to achieve patient and organizational goals with regard to patient's care needs, choice and satisfaction when discharge planning/transitioning care. Utilizes patient/famil

Functions as a member of the interdisciplinary treatment team by reviewing assessment data, case management, intake and other discipline data. Ensures goals identified in the treatment plan are clinically appropriate to the stated problems, developmentally focused, measurable and achievable within current anticipated lengths of stay, and updates treatment plans as appropr