Summary

JOB SUMMARY:   Responsible for assessing patient needs and linking patients to community agencies and resources as dictated by patient need. Conducts an initial assessment and gathers data relevant to patient needs. Assess patient needs and capabilities in the context of specific referral requests made by the primary clinician. Gathers and documents all necessary information needed for making patient referral, e. g. , proof of patient income, current medication dosages, etc. Coordinates services and resources to meet patients ancillary needs. Links patients with the most appropriate services necessary to meet their individual needs. Assists patients with obtaining and maintaining entitlements and benefits for which they are eligible. Communicates with internal staff, patients, and various community resources to coordinate patient assistance. Maintains contact with community agencies as appropriate to initiate and process referrals for vocational, financial and other social support resources. Creates and maintains current community resource list to include such areas as housing, legal assistance, social services, and other resources that may be needed by the patient population. Provides information and inservice trainings to clinical staff as necessary to share information and referral sources that may benefit the patient population. Maintains records on all patients as outlined by Hospital and Department protocol. Communicates with patients and clinical staff regarding the plan for and progress of securing needed resources.

REQUIREMENTS:

Minimum of 1 year of experience required; 3+ years of experience preferred. Bachelor's Degree in Human Services field preferred. Valid MD Driver's License with ability to be cleared by Fleet Safety to operate organizational vehicles.

Additional Information

Who We Are:

LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

What We Offer:

Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.

Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.

Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.

Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.

Why LifeBridge Health?

With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.

Our organization thrives on a culture of CARE BRAVELY—where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.

LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.