Responsible for discharge planning and contributing to the patient's treatment plan through and understanding of social, psychological and/or environmental needs related to the impact of illness and need for hospitalization. Professional activities will be carried out in accordance with the code of ethics established by the National Association of Social Workers.
Coordinates the discharge planning process to ensure a safe and timely transition from hospital to home, community, or institutional setting. Collaborates and cooperates with other members of the interdisciplinary health care team to ensure continuity of care. Identifies and attends to the psychological needs of patients and families.
Provides counseling to patients, families and groups. Responsible for documentation in the medical record, statistics and reports as required. Facilitates legal matters, financial entitlements and complies with grants and contracts when applicable. Maintains relationships with community agencies and keeps up to date on resources. Uses effective interpersonal skills in all interactions. Enhances own professional development and maintains formal and informal continuing education for self-improvement.