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

Bachelor's Degree in Social Work, Psychology, Sociology, or any Human Services Related Field. Required

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

Basic Life Support Required