Coordinates the overall interdisciplinary plan of care for patient, from admission to discharge. Responsibilities: Creates plan for care across the continuum, integrating patient/family preferences and values.| Serves as a resource to assess, evaluate, recommend and treat legal, neglect, substance abuse, crisis, psychosocial and various adjustment needs.| Advocates for resources and removal of barriers.| Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan.| Acts as a resource for adequate medical record documentation, complex level of care recommendations, and services as they relate to diagnoses, and treatment options for post-discharge care. Licensure / Certification / Registration: - One or more of the following required: - Counselor credentialed from the Michigan Board of Counseling obtained prior to hire date or job transfer date. - Social Worker credentialed from the Michigan Board of Social Work obtained prior to hire date or job transfer date. Any level accepted. - Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: - Bachelor's degree required. - Master's degree preferred. - Behavioral Health experience preferred Additional Information Organization: Henry Ford Providence Hospitals Department: HFPSH Social Service Shift: Day Job Union Code: Not Applicable