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Provider Care Services
Social Work Services
Social workers play a vital role as
part of the interdisciplinary care
team. Social work services focus
on the current medical condition
and the social determinants of
health and well-being. The social
worker conducts an assessment
to determine patient needs and
identify any barriers that might
impede recovery. The goals of care include:
• Helping the patient and caregiver to adjust to and cope
with the current medical condition
• Improving treatment adherence
• Avoiding re-hospitalization
• Strengthening the patient’s support system through
linkage to appropriate community resources, services
and public benefits
• Ensuring that the patient’s basic needs are met in a safe
home environment
• Assisting with the development of long-term care plans
Social work services are provided only in conjunction with
skilled nursing or rehabilitation services.
Service Area: All five boroughs of New York City, Nassau,
Suffolk and Westchester Counties.
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