The Social Worker conducts searches for placement facilities and provides options for Care Managers to support patient discharge/transition. Serves as a knowledge resource to interpret/negotiate with state, and federal agencies around the placement request process.

 

Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

Demonstrates the knowledge base required to effectively perform the job. Demonstrates the ability to interpret, analyze and apply relevant data to determine a course of action. Demonstrates effectiveness in communication/collaboration with culturally and professionally appropriate interpersonal skills. Demonstrates effective time management required to carry out job responsibilities in a timely manner. Maintains accurate and complete clinical documentation according to hospital policy and professional standards. Applies principles of crisis intervention and counseling as a resource to patients and families. Meets all annual organizational requirements, establish professional and personal goals. Demonstrates effective customer services behaviors as defined by hospital mission, vision and values. Demonstrates knowledge of and strives to meet departmental/hospital dashboards Works in close collaboration with physicians and other health care personnel in patient evaluation and treatment to further their understanding of significant social and emotional factors underlying patient's health problem. Helps patient and family through individual or group conferences to understand, accept, and follow medical recommendations Provides service planned to restore patient to optimum social and health adjustment within patient's capacity Utilizes community resources to assist patient to resume life in community or to learn to live within limits of disability. Attend required hospital-wide orientations, meetings, and in-services Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care

 
Other Job Responsibilities/Expectations include:
 

Counsels patients and family regarding social and financial consequences of illness, disability and mobilizing family and community resource. Establishes and maintains relationships with outside resource and serves as a community resource to others. Assists with Home Health and DME as needed. Assess psychosocial factors and provides for intervention with families and patients. Counsels patient and family using crisis intervention techniques and provides community service referrals. Reports cases of abuse and neglect to APS and CPS. Serves as consultant regarding issues with guardianship, abuse, neglect, POA, healthcare surrogate, Medicare and Medicaid guidelines. Coordinates referrals to inpatient or outpatient mental health agencies. Assist in obtaining or renewing TDO's as directed by MD or plan or care. Attends LOS meetings and contributes to planning and review of patients presented. Coordinates family conferences as needed. Completes Medicaid Screenings for Virginia and North Carolina (UAI) on all eligible patients for nursing home placement. Discharge planning activities on off hours or as delegated by the Lead Care Manager or Director. Coordinates and facilitates referrals to homeless shelters, Meals on Wheels, adult day care, assisted living or other community resources to ensure safe effective discharge.

 

Education and Experience

Minimum Required Education: Bachelor's degree in Sociology, Psychology, or Social Work is required.

Preferred Education: MSW preferred.

Experience: minimum of 3 years of social work experience in a hospital or healthcare setting preferred.

 

Certificates, Licenses, Registrations

CM certification strongly desirable.