Required Skills: Advance Directives,Coordinate services to home care and equipment following discharge,Coordinates with internal and external team members,Develop plan of care to meet patient/caregiver needs,Documentation of care delivery, plan, goals, etc,Documentation of patient/caregiver teaching/learning,Advance Directives,Assess response to treatment,Collaborative care,Conduct initial evaluation,Development of problem list,Documentation according to plan of care,Documentation reflects understanding of coverage criteria,Participates in care conference activities,Refers to rehab and long term care facilities,Review of Health history,Short Term Acute Care Inpatient Medical Social Worker,Refers to other disciplines/resources. Travel, per diem, permanent — we have the reach and access to get you the jobs you want, and the expertise to help you realize your long-term goals.