To perform case management and other discharge planning needs for transition of individuals from the acute care of hospitalization into the community.  This position also works to insure continuity of care between in-patient and out-patient levels of care, including placement allocation, resource management, and arranging on-going treatment needs.

• Performs assessments to obtain information on home environment, family relationships, and health history, as it would impact successful transition into the community.

• Assists patients and/or families through various forms in understanding, accepting and following medical recommendations and instructions to maintain recovery following discharge to the community.

• Acts as patient advocate and participates in conferences on behalf of patients with other hospital personnel and community agencies.

• Provides advisory services on social problems, arranges for discharge placement, and aftercare at home, placements in partnership with CMHCs, private mental health providers and others.

• Provides and coordinates discharge planning and follow-up to assure continuity of care.

• Performs or assists in studies and research projects concerned with problems occurring in the field of social work.

• Prepares various statistical and follow-up reports for use in planning further programs and evaluating department's performance.

• Participates in planning educational and social programs with community agencies, the hospital, and other mental health agencies.

• Other duties as assigned

Education

Bachelor’s Degree in Social Work.

Minimum Work

Experience in the area(s) of case management, either through employment or Educational Practicum Experiences preferred.

Required Skills, Knowledge, and Abilities

• Must be proficient in Windows, Word, and other basic computer skills.
• Must be detail oriented and thorough in order to ensure the complex enrollment packages are complete and correct.
• Must be able to communicate well with a wide variety of contacts at all levels of the organization and with external organizations.
• Maintains strict confidentiality with regard to protected health information and provider information
• Must display a commitment to the NASW Code of Ethics
• Must maintain licensure to practice non-clinical social work as a Licensed Social Worker (LSW); if licensure is not present at employment, the employee would be required to obtain a temporary permit to practice non-clinical social work, and obtain full licensure within 6 months of employment