**Description**

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Social Worker/Discharge Planner plans, organizes and directs the clinical case management functions of assigned patient population. This includes completing clinical and psychosocial assessments and facilitating timely, effective and safe discharges. Collaborates with the multidisciplinary care team to identify patients at risk for readmissions and implements plans of care to reduce risk.

Responsibilities:

1. Completes psychosocial screenings, assessments, and appropriate interventions in collaboration with patients/families, physicians, and other healthcare team members to meet care plan needs.

2. Collaborates with Case Manager to formulate and implement discharge plans for patients with identified discharge needs.

3. Accesses internal an...