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Company: LifeBridge Health
Location: Randallstown
Posted on: December 7, 2017

Job Description:

Job Description:
Provides leadership to the health care team in areas of coordination of care and discharge planning.Serves as a patient advocate during hospitalization in collaboration with the health team and community agencies to insure that care and discharge planning needs are met.Serves as a steward of Hospital resources monitoring and effecting appropriate bed utilization and length of stay.

Essential Functions:

Assess and Plan

A systematic gathering of pertinent information utilizing a broad scope of sources whereby conclusions can be drawn, needs can be determined and actions are taken to meet these needs.


Gathers information about medical history, current treatment plan, living situation, functional status, multidisciplinary consultations, and community agency involvement.Draws conclusions and anticipates treatment and discharge needs.Includes patient/family in the process.Participates in interdisciplinary and interagency community collaboration on an ongoing basis to adjust needs assessment and modify discharge plan to meet the needs of the patient.Interjects social, cultural/ethnic and emotional aspects of the care and discharge assessment into the Interdisciplinary plan of care.Implements an initial plan upon timely assessment and maintains an appropriate plan with referrals executed concurrent with the patient course.This includes actions to address barriers to discharge.Documents appropriate level of assessment and progress notes on departmental and medical charts in accordance with departmental standards.Utilizes creativity and negotiation skills and a broad scope of community resources to accomplish treatment and discharge goals or seeks assistance from senior co-worker/supervisor while maintaining daily ownership of complicated cases.Enters daily case activity into Midas Software, and other departmental communication forms.

Keywords: LifeBridge Health, Baltimore, SOCIAL WORK CASE MANAGER ASSOCIATE, Executive, Randallstown, Maryland

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