Social Worker

Job Description

Duties & Responsibilities:

• Conduct comprehensive psychosocial assessments to identify patient and family needs, risks, and barriers to care.
• Develop, implement, and evaluate individualized plans of care in collaboration with patients, families, and interdisciplinary teams.
• Reassess patient needs and adjust care goals and interventions as necessary.
• Communicate clinical recommendations and ensure effective patient handoffs with the interdisciplinary team.
• Identify and address social, emotional, physical, and environmental factors affecting patient care and discharge planning.
• Provide support and resources for end-of-life decision-making and bereavement needs.
• Support families dealing with complex dynamics and help resolve barriers to care and discharge.
• Manage crisis situations, de-escalate conflicts, and redirect challenging behaviors when appropriate.
• Assist families with legally complex cases and connect them with appropriate community resources.
• Maintain patient privacy and confidentiality in accordance with applicable requirements.
• Ensure timely and accurate documentation in the medical record.

Required Skills

• Ability to conduct thorough psychosocial assessments and develop, implement, and evaluate care plans.
• Understanding of the psychosocial needs of the assigned patient population.
• Experience coordinating community resources and supporting patients and families.
• Ability to manage crisis situations and complex psychosocial needs.
• Experience handling grief, bereavement, and end-of-life situations.
• Strong initiative, critical thinking, judgment, and problem-solving skills.
• Excellent listening, interpersonal, and communication skills.

Preferred Experience:

• Hospital experience.
• Behavioral health experience.