PRIMARY FUNCTION:

To assist patients and families to identify social, emotional, and environmental needs and to connect them with available resources/ services through the provision of a full spectrum of discharge planning and social work services.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Works with the patient, family, and other members of the health care team to formulate a discharge plan that provides the patient services in the appropriate post-acute care setting. Gathers and assesses information regarding the patient's physical needs, mental status, family support system, financial resources, and available community and governmental resources. Employs assessment to develop a comprehensive case management plan that will address the patient's goals of care and identified needs for discharge planning. As part of the discharge plan development process, collaborates with other healthcare professionals in multi-disciplinary meetings and patient rounds. Receives updates and guidance regarding Utilization Management from appropriate UM staff to assist with length of stay coordination.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Master's degree in Social Work (MSW) or Master of Social Services degree (MSS) from an accredited graduate school of Social Work.
• Must have an active social work license in the state of Maryland (in good standing)
• Two years of social work experience in an acute care setting preferred.