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Social Worker Full Time Days
Summary Responsible tofacilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient�s resources and right to self-determination. Assumes responsibility to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Responsibleto assess the patient for transitionneeds including identifying and assessing patient at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable readmissions. Integrates national standards for casemanagement scope of services including:Transition Management promoting appr


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