Manages legal issues related to adoptions, guardianship, and advance directives in collaboration with legal counsel. Educates patients and families on available resources and coping strategies for dealing with diagnosis, treatment, and prognosis. Collaborates with hospital and community agencies to secure needed services and resources for patients and caregivers. Coordinates with RN Case Managers to develop and implement post-discharge plans tailored to each patient's needs. Interviews patients and families to assess psycho-social needs and evaluate support systems. Collaborates with the healthcare interdisciplinary team to address barriers impacting discharge plans. Identifies and initiates the most efficient discharge plan to expedite patient transition to the next level of care. Facilitates communication between patients, families, and healthcare providers to ensure understanding of discharge plans and available resources. Knowledge, Skills, and Abilities: Ability to communicate effectively with diverse populations [Required] Ability to function in a stressful and fast-paced environment [Required] Interpersonal skills that promote teamwork [Required] Critical thinking and problem-solving skills [Required] Knowledge of and ability to utilize in-house and external resources [Required] Flexibility in prioritization [Required] Ability to multitask [Required] Ability to analyze complex technical data and complex interpersonal dynamics in brief time [Required] Effective organizational skills [Required] Significant knowledge and understanding of availability of community and post-acute resources [Required] Proficiency in the daily use of standard office equipment such as computer, phone, fax, pager, copier etc. and skill in utilizing Microsoft Word and Outlook tools [Required]Education: Bachelor's [Required]Field of Study: in Social Work. Work Experience: Acute hospital experience [Preferred]Licenses and Certifications: Basic Life Support - CPR Cert (BLS) [Required] Accredited Case Manager (ACM) [Preferred] Certified Case Manager (CCM) [Preferred]Physical Requirements: (Please click the link below to view work requirements)Physical Requirements - 4 mja 2 Pay Range:$21.56 - $40.09