J

Social Worker

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Job Description - Social Worker


 
  • Interviews residents and residents' social support system when appropriate to identify and assess needs, evaluate resources, and work with patient, patient's support system, and the multidisciplinary team to develop a post hospital plan of care.
  • Provides psychosocial assessment with the patient and develops a post acute plan of care in coordination with the IDT.
  • Works collaboratively with the residents and residents' social support system to establish and implement a plan of care with multidisciplinary team that meets the patient's identified psychosocial needs.
  • Intervenes in crisis situations, appropriately and effectively applying crisis intervention theory and skills
  • Works with the IDT team to assess and evaluate the patient/patient's social support system for the appropriate level of care or environment setting to meet care needs across the continuum.
  • Maintains current knowledge and researches availability of community agencies and community resources for social, emotional or financial assistance.
  • Works with IDT to identify problems, recommended solutions and works toward resolution and efficient discharge planning.
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