Care Coordinator SW Sr
Company: WellStar Health System, Inc.
Posted on: January 27, 2023
The Care Coordinator Social Worker Sr. serves as an expert resource
for complex patients/ situations and serves as a guide/consultant
to the other care team members surrounding patient psychosocial and
resource needs. Is an expert with supporting community-based
service offerings (indigent care support groups, specialty care)
and offers guidance to patients/families as well as other care team
members. Is responsible for selected functions related to Advance
The Care Coordinator SW Sr. is responsible for providing
psychosocial assessment for patients with the appropriate planning
for follow up care. The Care Coordinator SW Sr. collaborates with
the interdisciplinary team to provide care and support to the
patient and family in a wholistic manner and serve as an expert on
issues related to psychosocial, end of life care, planning,
resource needs, counseling services utilizing evidence-based
standards and appropriate documentation n the patient record. The
Social Worker will provide resource and information necessary to
aid patient/families in decision making up to and including support
for end of life or funeral care. The Care Coordinator SW Sr. role
include, discharge planning and assessment of patients and family's
needs for post discharge services, including post-acute care and
placement, transition of care, pharmaceutical applications,
providing information and counseling services to help the patient
cope/adjustment to illness, hospitalization, anticipatory grief,
death and bereavement, and other situations that may arise.
The Care Coordinator SW Sr. will collaborate/participate in
ensuring that education on chronic care conditions selfmanagement
such as CHF, COPD and other key focus conditions are completed. The
Social Worker will coordinate and lead family conferences to plan
timely patient disposition, will guide and support the other Social
Workers with family care conferences and physician level meetings.
The Social Worker will participate in the training of new social
work hires and may assist other LMSWs in case reviews and
discussion of difficult situations, to include, but not limited to
assessing suicide ideation, bereavement risk and other similar
scenarios. May have other duties assigned as appropriate.
Keywords: WellStar Health System, Inc., Atlanta , Care Coordinator SW Sr, Other , Norcross, Georgia
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