Job Description
Job Summary:
- To work collaboratively with members of an interdisciplinary team in order to assist patients and families with complex psychosocial needs.
- These interventions may include, but are not exclusive to: alternate site coordination, discharge planning, addressing all forms of identified abuse/neglect, adoption, substance use disorders, assisting with end of life decisions, providing appropriate referral resources, bereavement support, adjustment counseling, facilitating guardianships and behavioral health concerns (including psychiatric transfers).
Duties and Responsibilities:
- Conducts psychosocial assessments with patient and or family to assist with identified psychosocial needs or who may be identified to require an alternate site of care post discharge and executes a plan.
- Communicates with alternate sites of care and/or community agencies in an effective and timely manner, to best address the patient’s needs.
- Completes and documents the assessment and plan in the electronic medical record, accurately reflecting the patient’s current condition, situational factors, transition of care needs and psychosocial imperatives.
- Provides consultation and resources to members of the healthcare team.
- Responsible for maintaining relevant and current knowledge of community resources.
- Participates or assists in department, regional, or statewide stakeholder committees, projects etc., as assigned/requested.
- Develops and maintains current knowledge of federal and state regulations as they pertain to role.
Requirements:
- Required Master’s Degree Social Work.
- Experience in individual, family assessment, crisis intervention, grief and loss counseling, and discharge planning preferred Preferred.
- MSW or LBSW.
- LIC-Master Soc Work LTD – STATE_MI State of Michigan Upon Hire required.
- LIC-Driver’s License – STATE_MI State of Michigan Hospice and Home Care Upon Hire required.