social worker

Screen patients for psychosocial and financial risks, assess psychological needs, and provide counseling, care management, and referrals to community agencies. Collaborate with interdisciplinary teams to develop plans of care, coordinate discharge to appropriate facilities, and monitor adherence to guidelines. Document initial assessments, review referrals for accuracy, and report potential risks or quality management issues through administrative channels. Facilitate placement details and resolve barriers via medical and administrative channels. Work in a clinical environment while ensuring compliance with organization policies.