Job Responsibilities
• Perform a comprehensive psychosocial assessment when triggered to identify the patient's healthÂ
goals and coordinate services with the RN Case Manager for an effective transition plan. MeetsÂ
directly with patient/family on an ongoing basis as identified.
• Identify the need for patient/family regarding Social / Psychosocial issues that need to beÂ
addressed.
• Build on the discharge planning assessment in developing, coordinating, implementing andÂ
revising a care plan to ensure good transition management and continuity of care (LOS, dischargeÂ
delays), cost reduction and patient self-management (patient activation).
• Collaborates with the physician and all members of the multidisciplinary team to facilitate care andÂ
assist in meeting discharge goals.
• Completes assigned goals.
• Provides supportive counseling to individuals, families, and groups to address identified concernsÂ
and to enhance understanding of coping with and adjustment to illness/hospitalization.
Specifications
Experience
Description Minimum Required Preferred/Desired
2 years experience in aÂ
Created By: Jenny Seratt February 24, 2026 Baptist Proprietary and Confidential
healthcare setting.Â
Education
Description Minimum Required Preferred/Desired
Masters degree in social work.Â
Training
Description Minimum Required Preferred/Desired
2 years clinical experience as aÂ
social worker in medical/clinicalÂ
setting
Special Skills
Description Minimum Required Preferred/Desired
Excellent interpersonalÂ
communication and negotiationÂ
skills. Ability to identify andÂ
coordinate appropriate resourcesÂ
in the community. Ability to workÂ
with people of all social,Â
economic, and culturalÂ
backgrounds. Computer skills.
Licensure
Â
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