2 practice representative jobs found

Overview Provides targeted social work services to patients at high risk for rehospitalization during a transitional care episode in the Transitional Care Program. Functions as part of a Social Worker-led team providing services to this population. Works under general supervision. What We Provide    Personal and financial wellness programs   Opportunities for professional growth and career advancement   Internal mobility, CEU credits, and advancement opportunities    Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals    What You Will Do Collaborates with the transitional care team to perform interventions during post hospital discharge period aimed at reducing preventable hospitalizations. Makes home visits to patients in the program after hospital discharge with defined social service needs and develops a plan for the transitional care episode in collaboration with the program team. Conducts...

Overview Provides targeted social work services to patients at high risk for rehospitalization during a transitional care episode in the Transitional Care Program. Functions as part of a social worker-led team providing services to this population. Works under general supervision. What We Provide    Per Diem team members can access our extensive Employee Assistance Program that includes financial, legal, and mental health counseling program as well as participate in a retirement savings program. What You Will Do Collaborates with the transitional care team to perform interventions during post hospital discharge period aimed at reducing preventable hospitalizations. Makes home visits to patients in the program after hospital discharge with defined social service needs and develops a plan for the transitional care episode in collaboration with the program team. Conducts weekly or more frequent phone visits to the patient and family/caregiver with defined...