Medical Social Worker
Core
Conduct psychosocial assessments, discharge planning, and care coordination for patients and families within a multi-disciplinary healthcare team.
Role type
Clinical medical social worker (case management)
Builds
Safe discharge plans, post-acute care transitions, and utilization management interventions
Domain
Healthcare / Social Work
Deliverable
client delivery
Required skills
Psychosocial assessment, discharge planning, care coordination, utilization management, community resource navigation, ethical decision-making, regulatory compliance
Preferred skills
LCSW licensure, experience in healthcare settings, knowledge of ACO environments
Technologies
Electronic health records, CMS regulatory systems
Responsibilities
Conduct psychosocial assessments and determine patient needs; coordinate post-acute placements and community resources; manage utilization review and denial activities; facilitate discharge planning and care transitions; educate patients/families on advance directives and community services; collaborate with medical staff to resolve barriers to care.
Seniority
Mid-level, hands-on IC