General Summary
Independently practices social work and receives limited consultation, functioning as a member of the multidisciplinary healthcare team to provide case management, therapeutic crisis intervention, biopsychosocial assessment, clinical evaluation, therapy, counseling, referral, treatment planning, and other clinical social work services within their practice area.
Principal Responsibilities and Tasks
The following statements describe the general work performed in this role. It is not an exhaustive list of all duties that may be performed.
THE MEDICAL HEART OF MARYLAND
Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health care system and community. We're known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world's first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation's largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland's first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland's Children's Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.
The mission of the Transitional Care Coordination Program is to ensure intensive, coordinated, outpatient care for patients with complex chronic health problems that leave them medically vulnerable. Our vision is to address our patients' needs holistically; to improve health and well-being through coordinated medical services with emphasis on the social determinants that affect health such as housing, food and transportation.
We do this by providing coordination and support for complex, vulnerable patients whose chronic health conditions and psychosocial challenges place them at high risk for repeated hospital admission or frequent returns to the emergency room. We provide comprehensive post hospital care coordination via telephone outreach, community visits and in-home visits as needed to ensure patient is supported in their health care needs/goals after they return to the community.
Some things our multidisciplinary team assists patients with are:
Education and Experience
Knowledge, Skills and Abilities
All your information will be kept confidential according to EEO guidelines.