Assess the psychosocial needs of the patient and family to develop, communicate, and implement an effective and comprehensive plan for psychosocial interventions and complex discharges, included but not limited to readmissions in the high risk population. Is a resource regarding social systems, institutions, and behavioral and relationship patterns. Can skillfully apply the appropriate interventions to meet the needs of the patient and family. Collaborates with the multidisciplinary team to ensure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served. Provides education and expertise to promote the practice and profession of social work within the hospital. Serves on specialty areas within the hospital that require a MSW for regulatory or grant funding requirements.
Job Requirements:Master's Degree in Social Science or Social Work (Required)
Up to 1 year Clinical Healthcare, Community Social Work (Required)
Computer literate.
Grief and bereavement counseling, alcohol and drug intervention, and support for victims of abuse, neglect, and violence.
Payer rules for reimbursement and community resources for underserved.
Social Worker Licensed Social Worker Required
Job Responsibilities:
Applies root cause analysis to readmissions and works with the health care team, patient, and family to resolve the issues.
Communicates (verbally and written) and collaborates with the multidisciplinary team to advise of the plan and patient response to the plan. Counsels other caregivers on techniques for effective psychosocial intervention and communication.
Develops and implements plan of care based on assessment including counseling or crisis intervention, and facilitates linkages to community resources and services. Revises plan based on patient and family response.
Promotes the profession of social work by providing formal education and teaching rounds; serves as a resource & preceptor for new staff. Provides on call services according to departmental policy including timely response and appropriate follow up.
Responds to referrals and assesses the psychosocial and complex discharge needs of patients and families using data from the medical record, patient, multidisciplinary team, family, and other available resources.
Working Conditions:
Bending -
Climbing - Occasionally
Concentrating -
Continuous Learning -
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication -
Kneeling - Occasionally
Lifting