**Job Description** **Grow your career at Cedars-Sinai!** Cedars-Sinai Medical Center has been named to the Honor Roll in U.S. News & World Report’s “Best Hospitals 2024-2025” rankings . When you join our team, you’ll gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and performance-improvement projects so you can achieve certifications and degrees while gaining the knowledge and experience needed to advance your career. We take pride in hiring the best, most hard-working employees. Our dedicated doctors, nurses and staff reflect the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for. **What will you be doing:** The Clinical Social Worker LCSW is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for corresponding Departments. Is responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. Is responsible for developing patient care goals and treatment plans as agreed upon by the patient's care team. Is also available to physicians and nurse case managers as a consultant for those patients with complex psychosocial needs and advance care planning. + Evaluates and implements social service programs for patients with psycho/social issues focusing on seniors, catastrophic and chronically ill patients. + Develops social service documentation tool/templates in EMR for Social Work consults, family counseling and group sessions and IS reports for outcome measurements. + Performs triage for patients within corresponding team(s) and assists in coordinating patient care delivery, including DPA/POSLT and documents pertinent information in the case management system. + Implements transitions of care between inpatient and continued outpatient follow up and vice versa. + Initiates team care conference to include patient, family, and care providers. + Evaluates daily caseload and assess achievement of long and short term goals; Modifies goals with providers and care team based upon patient outcomes. + Compiles and presents statistics and reports relating to patient outcomes and document findings in the patients EMR. + Follows up on communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc. + Acts as the social services liaison for the department, particularly in the areas of: Advance Care Planning discussions, Complex discharge planning, Biopsychosocial assessments. + Refers patients to agencies that provides supportive services optimizing patients health plan benefits. + Assists in arranging community resources (i.e. meals on wheels, transportation services, adult day care, and info-line) and in the long term planning for patients transitioning to institutional setting. + Provides alternatives for patients requiring specific services. + Acts as the liaison to Population Health department in regard to chronic disease state management programs. + Assists in the development and implementation of new policies and procedures for the department. + Participates in advance care planning initiatives. **Qualifications** **Experience Requirements:** Two (2) plus years of Hospital experience, preferably in a Cardiac setting. Proven experience in multi-disciplinary settings (Inpatient/Outpatient). **Educational/License Requirements:** Master degree in Social Work (MSW). Licensed Clinical Social Worker (CA LCSW). \#Jobs-Indeed \#LI-Onsite **Req ID** : 6258 **Working Title** : Clinical Social Worker LCSW (Heart Transplant, Inpatient/Outpatient) - Onsite 8-Hour Day Shift **Department** : Social Work Services **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** : Social Work **Overtime Status** : EXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $91,728 - $146,764.80 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.