Role Summary
Provide psychosocial assessment, counseling, and care coordination for patients and families receiving home-based care. Evaluate emotional, social, financial, and environmental needs, and offer supportive interventions to promote well-being and safe recovery.
Key Duties
- Conduct psychosocial assessments for patients and families.
- Deliver counseling and support services addressing emotional and social concerns.
- Identify and address financial and environmental barriers impacting care.
- Connect patients with appropriate community resources and support services.
- Support care transitions and coordinate follow-up needs.
- Collaborate with the interdisciplinary healthcare team to coordinate care and safety.
Qualifications & Skills
- Strong counseling and assessment skills with empathy and cultural sensitivity.
- Ability to coordinate complex care needs across community and clinical resources.
- Effective communication and collaboration with interdisciplinary teams.
- Problem-solving skills to address social, financial, and environmental barriers to recovery.