Social Worker Role

New

Skills

Behavioral Health Support Care Conference Facilitation Care Coordination CPR and First Aid Certification Discharge Planning Documentation Skills Interdisciplinary Team Collaboration Psychosocial Assessment Resource Management Substance Abuse Counseling

The Social Worker will conduct psychosocial assessments to identify participants' needs and goals, deliver and document social work interventions per care plans, and coordinate resources effectively. This role involves partnering with the Primary Care Physician and Interdisciplinary Team (IDT) to guide care transitions and facilitate care conference meetings for improved care coordination. Additionally, the Social Worker will provide discharge planning for participants disenrolling from the program.

Key Responsibilities
  • Conduct psychosocial assessments to identify participant needs and goals.
  • Deliver and document social work interventions according to care plans.
  • Coordinate resources effectively to support participants.
  • Partner with the Primary Care Physician and IDT for care transitions.
  • Initiate, coordinate, and facilitate care conference meetings.
  • Provide discharge planning for participants disenrolling from the program.
Requirements & Qualifications
  • Master’s degree in social work (MSW) required.
  • Minimum of one year experience with frail or elderly population preferred.
  • Experience coordinating and facilitating care conference meetings.
  • Experience assisting people with behavioral health or substance abuse issues.
  • CPR and First Aid certification within 180 days of hire.
  • CPR/First Aid certification upon hire preferred.

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Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: Months

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