The role of the Social Worker is to assess, plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, hospital and system levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with the ED physicians and clinical staff to ensure resource utilization is appropriate to the patient’s clinical needs and within covered benefits. Works with patients, families, internal departments and external agencies to provide smooth, timely transition of care across the continuum. Activities will be documented as per policy. Information will be analyzed, tracked, trended and shared with the appropriate medical dental staff or hospital department as needed. Ensures that outcome management (data collection through analysis) information is accurate, communicated and evaluated for process improvement potentia...