Job Description
Duties and Responsibilities:
- Provides direct clinical social work service, counseling, discharge planning, and case management services to hospital patients and their families including assessment and documentation of emotional, social, financial, environmental or follow-up referral needs.
- Works collaboratively with the interdisciplinary healthcare team.
- Formulates a psychosocial plan of care related to assessment of patient’s unique strengths and needs.
- Develops a discharge plan for case load as designated by the team.
- Monitors progress toward goals of care and identifies barriers to meeting estimated length of stay.
- Facilitates integration with community-based resources to optimize patient health.
- Activities are consistent with System mission and values and in compliance with applicable regulations and System policies and procedures.
- Partners with the physicians, nursing, and other members of the healthcare team to establish, document, implement and evaluate a plan of care based on the patient’s unique health strengths and needs.
- Brings psychological assessment skills; acute, long term, and community health expertise; learning theory; and multidisciplinary team expertise to the interdisciplinary team.
- Monitors progress of the plan of care and communicates any changes with the care team.
- To the extent possible, provides integrated – mind, body, spirit – service to the patient and family through a mutually agreed upon plan of care and patient advocate relationship.
- Supports System processes related to the health management of patients across the continuum of care, e.g. QI and/or clinical practice team membership, clinical research, quality monitoring, community networking.
- Assesses needs of patients/families and conceptualizes problem situations within social work Product of service using appropriate age-related skills.
- Provides direct social work services and counseling to patients and their families.
- Interprets social, psychological, emotional, financial and family issues for attending physicians and other health care team members.
- Demonstrates continued enhancement of professional skills.
- Complies with department and hospital policies and procedures.
- Supports organization goals to provide the best/optimal care to our patients and families, and community to our highest customer satisfaction.
- Performs other duties as assigned.
Education:
- Master of Social Work from a school of Social Work accredited by the Council on Social Work Education
Knowledge, Skills and Abilities:
- Strong psychosocial assessment skills.
- Strong critical thinking skills- must be capable of independent judgment, and have strong clinical decision-making skills.
- Skilled at working with patients and families coping with loss and grief.
- Excellent follow-through skills.
- Strong organizational skills with attention to detail required.
- Must have working knowledge of motivational theories, system theories, developmental theories, and group dynamics.
- Ability to work effectively with diverse populations, including those with respect to age, culture, ethnicity, and gender.
- Basic proficiency with word processing required; basic proficiency with databases strongly preferred.
- Must have strong written and oral communication skills.
- The Client Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at client.
- The Client Way principles consist of Caring, Communication, Collaboration, and Competence.
- Effective care-giving and advocacy skills for diverse clients- neonatal through geriatric- essential.
- Ability to build and maintain constructive relationships with team members, external service providers, System managers, and department staff – often within the context of competing interests – essential.
- Demonstrates respect for others perspectives.
Physical Effort:
- Some standing, walking, stooping, bending, twisting, periods of sitting and use of computer keyboard throughout the workday.
- Transportation available to cover referrals when other hospital needs coverage.