Job Responsibilities :
Coordinate and implement discharge planning for complex patients, ensuring timely transitions and appropriate linkage to post‐discharge care providers and community resources.
Receive and manage referrals from Care Managers and other healthcare team members for complex patient problem resolution, providing expert guidance and intervention.
Maintain accountability for care transitions, revising plans as needed, updating patients and families, and proactively addressing delays or obstacles in collaboration with Nurse Care Managers.
Assess psychosocial risk factors by evaluating patient and family functioning, support systems, coping abilities, and reactions to illness to inform care planning.
Provide crisis intervention and supportive counseling for patients and families, addressing emotional, social, and behavioral needs during hospitalization and transition.
Ensure compliance with legal and ethical standards by intervening in cases involving abuse, neglect, domestic violence, guardianship, foster care, adoption, and mental health placement.
Position Qualifications :
Minimum Required :
Masters in Social Work (MSW)
Employee must passed NYS Licensing Exam within 6 months from hire date
Preferred :
3 years post graduate experience
NYS Licensed Master Social Worker (LMSW) or limited permit (Note : Social Workers within the Clinics must have current NYS Social Work License; not a Limited Permit).
Work Environment
All work is performed in an office or on hospital units that requires working in close quarters with other employees. The areas are air conditioned as well as heated. Not exposed to environmental or toxic hazards.
Universal Blood & Body Fluid Precautions & Isolation restrictions are observed and appropriate protective equipment utilized.
Age of Patients Served
HIPAA Roles‐Based Access to Patient Information
Social Worker • Binghamton, NY, United States