Assess psycho-social needs of patients assigned and initiates necessary arrangements for needed resources and/or discharge plans. Initiates involuntary examination and implements other Baker Act procedures. Provides counseling to patients and families for care required by patient after discharge. Conducts group therapy sessions and/or individual sessions.



  • Counseling individual patients and family members.
  • Makes recommendations and referrals to home health and community agencies as needed.
  • Is knowledgeable in “Baker Act” and other Mental Health Laws.
  • Coordinates discharge planning according to discharge criteria for all patients and re-evaluates and modifies the discharge plan as needed.
  • Assists with program planning, development and evaluation.
  • Performs intake assessment/evaluation of treatment needs, including completion of psychosocial history and creation of treatment plan per hospital policy.
  • Assists in determining eligibility of social, medical, financial and other services to meet the patient’s needs.
  • Communicates psychosocial aspects of treatment with the multi-disciplinary team and acts as a resource for treatment planning and regarding patient/family involvement.
  • Monitors compliance and observes for adverse reactions to medications within the elderly population.
  • Monitors and ascertains the therapeutic modalities that are conducive to meeting the needs of the elderly patient.
  • Meets and consults with physicians regarding patient’s treatment plans and needs in order to meet the patient’s psycho-social and discharge needs.
  • Implements crisis intervention measures when indicated, including behavioral and individual counseling for suicidal ideation or controlling aggressive behavior.
  • Conducts individual and group therapy sessions. Proving Insight Oriented group; specialty groups as indicated and individual sessions for all assigned patients
  • Participates in researching community resources.
  • Participates in cross-functional CQI, safety and infection control studies as assigned.
  • Required to have flexibility of schedule in order to meet the needs of the patient and family members for purpose of discharge planning, counseling, etc.
  • Occasionally may require overtime.


  • Performs other assigned duties as required.
  • Is available to all Care Managers to oversee discharge plan and/or complications.



  • Address age specific needs of adult and geriatric population in all intervention, assessment, and service delivery coordination.
  • Maintains a professional level of conduct and appearance.
  • Practices good public and guest relations by displaying a friendly and cheerful manner.
  • Displays good judgment and tact when dealing with complaints and situations where the policies of the hospital are being enforced.
  • Uses personal judgment and specialized knowledge to give information to people.
  • Communicates well. Speaks clearly and listens carefully.
  • Adheres to policy and procedures as set forth by the hospital.
  • Maintains confidentiality of patient information.
  • Assists patient and their families in their needs.
  • Ability to multitask.
  • Uses eyes, hands, and fingers accurately while operating a switchboard or computer keyboard.


Education and/or experience:

  • Master of Science in Social Work from an accredited College or University.
  • A minimum of two years of experience in a behavioral, mental health or psychiatric setting.
  • A valid Florida License in Clinical Social Work