Social Worker Rehab Unit

About Legent Health At Legent Health , our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience. Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners. Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care. About the Role The Master’s Social Worker (MSW) provides essential psychosocial support, discharge planning, and case management services to patients and their families in an inpatient rehabilitation setting. The MSW collaborates with an interdisciplinary team to ensure comprehensive care, addressing emotional, social, and environmental barriers to recovery. This role involves conducting assessments, facilitating family meetings, coordinating post-discharge services, and advocating for patient needs to optimize outcomes. POSITION’S ESSENTIAL RESPONSIBILITIES: 1. Case Management & Care Coordination Serve as a primary case manager for assigned patients, overseeing the progression of care from admission to discharge. Conduct utilization reviews in collaboration with the rehab team to ensure medical necessity and insurance authorization for continued stay. Monitor patient progress, identify barriers to recovery, and adjust care plans as needed. Coordinate with physicians, nurses, therapists, and external providers to optimize treatment outcomes. Facilitate interdisciplinary team meetings to discuss patient goals, discharge readiness, and post-acute needs. Psychosocial Assessment & Intervention: Conduct comprehensive psychosocial evaluations to identify patient needs, support systems, and barriers to recovery. Provide counseling, crisis intervention, and emotional support to patients and families. Address mental health concerns, adjustment to disability, grief, and coping strategies. Discharge Planning & Care Coordination: Develop and implement individualized discharge plans in collaboration with the rehab team. Arrange post-acute services (e.g., home health, skilled nursing facilities, outpatient therapy). Coordinate with community agencies, insurers, and vendors to secure resources (DME, housing, financial assistance). Interdisciplinary Collaboration: Participate in team meetings, contributing insights on psychosocial factors affecting rehabilitation. Advocate for patien