Job Summary
This role involves assessing the biopsychosocial needs and risks of patients, facilitating collaboration among patients, families, and multidisciplinary teams, and advocating for solutions to any barriers affecting patient care. The position requires careful planning and coordination for patient discharge and continuity of care, which includes managing referrals and ensuring smooth transitions to suitable post-acute and community services.
Responsibilities
- Assess and identify the biopsychosocial needs and risks of patients.
- Collaborate with patients, family members, and interdisciplinary teams to coordinate care.
- Advocate for patients to address and overcome barriers to care.
- Plan and organize discharge processes and ensure continuity of care.
- Facilitate referrals and transitions to appropriate post-acute and community services.
Qualifications
- A master’s degree in social work is required.
- Minimum of one year of experience in clinical care or clinical case management.
- Basic Life Support certification from the American Heart Association must be obtained by the start date.
- Preferred qualifications include experience in inpatient behavioral health case management, discharge planning, and working with diverse age groups across multiple units.


