JOB REQUIREMENTS: Overview The Social Worker BSW coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The BSW provides services and support to patients and families who are referred to Social Services or by case finding. The BS provides discharge planning as needed. The BSW is a strong patient advocate. Working in collaboration with the Patient Navigator and the Multidisciplinary team, the BSW assesses and intervenes with high risk patients that require a high level of continuing care services while ensuring compliance with regulatory standards of care at the organizational, state and federal level. As needed, the Social Worker conducts clinical review for utilization management; corresponding with payers and utilizing established criteria sets. Responsibilities Essential Duties and Responsibilities Provides psychosocial assessment, intervention and facilitates referrals to community resources to hospital patients in a variety of care settings. Formulates, develops and implements psychosocial treatment plan utilizing appropriate social work interventions which may include crisis intervention and grief and bereavement services. Assesses referred patients, within prescribed time frames, for transitional planning needs, including any barriers to discharge, family and social supports, capacity for self-care, adaptive abilities and financial resources. Develops individualized, patient-focused plan for meeting continuing care needs. Provides education and resource options available to patients and families. Facilitates and assists with legal issues within scope of practice (POAHC, Guardianship, Patient Rights, and Adoption). Reviews advance directives and helps patients to complete new documents. Communicates effectively with physicians, patients, families and multidisciplinary team to ensure that the patient\'s right to self-determination is met. Provides education and support to patients/families in regards to issues related to adaptation to the patient\'s diagnosis/illness/treatment and/or life situation. Maintains detailed knowledge of community resources to effectively address patient needs and help to strengthen patient\'s network of support. Documents plan of care, interventions, and progress toward goals in the medical record in a timely and concise manner. Facilitates crisis intervention services in the hospital setting as determined by scope of practice. Identifies and reports child and/or elder abuse to local authorities according to law. Acts as a liaison with county officials for patients involved with protective services, aging, developmental disabilities, domestic violence, mental health services and... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/20F4D31AE4D14078