Licensed Clinical Social Worker

Job Description

Job Summary:

• Responsible for coordinating and implementing post-discharge plans in coordination with the Case Managers through the use of client.
• They are also responsible for assisting with advocacy and referrals to other community resources

Duties and Responsibilities:

• Obtains, reviews and analyzes information relative to discharge planning in accordance with hospital policy.
• Assess/reassess patient’s clinical and psychosocial status, premorbid status, community services utilized, and diagnosis and treatment plan per Case Management referral.
• Through assessment process identifies community resources needed and facilitates referrals to agencies (local and state) or programs for assistance as needed.
• Educates patient and/ or family on community resources available for assistance.
• Facilitates discharge planning working with patient, families and treatment team making any needed referrals/arrangements and documenting actions.
• Documents actions taken in progress notes and/or discharge planning-assessment form from initial visit through to D/C.
• Demonstrates professionalism in actions and job performance in accordance with mission and the social work code of ethics.
• Demonstrates and understands the needs of the following age specific categories: neonatal, pediatric, adolescent, geriatric and implements a discharge plan tailored to the age specific needs of the patient.
• Demonstrate special sensitivity toward different age groups, ethnic, cultural and disabling human diversity and human development.
• Conforms to standards of patient and family confidentiality according to hospital and NASW standards and HIPPA.
• Assesses patient’s physical, psychosocial, cultural and spiritual needs through observation, interview, review of records and interfacing with interdisciplinary team and caregivers to ensure appropriate referrals.
• Reevaluates and makes adjustments to discharge plan as patients’ condition changes.
• Ensures that appropriate arrangements for post-hospital care are made before discharge to avoid
  unnecessary delays in discharge.
• Assesses patient/family emotional, social and financial needs and assists in setting up community
  resources to meet these needs.
• Provides support to patients and families who are having difficulty coping effectively with changing
  medical conditions.
• Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation.
• Communicates treatment goals or best practices to treatment team including physician.
• Uses ECIN to facilitate electronic referrals for discharge planning.
• Uses supportive crisis intervention including illness, grief/loss in decision making process.
• Consults and communicates, as appropriate, with manager regarding difficult practice issues.
• Adheres to state and federal regulations pertaining to discharge.
• Implements discharge plan in accordance with physician direction and patient/caregiver agreement.
•  Assesses patient/family learning style and appropriately teaches and documents understanding.
• Collaborates with interdisciplinary team to develop and implement holistic, individualized plan of care
• Works in collaboration with Case Management Coordinator, Home Care Coordinator and Utilization Review to ensure seamless and timely delivery of services.
• Maintains updated referral resource lists.
• Assess, coordinates and evaluates discharge readiness with CM and use of resources and discusses variances on an as needed basis with treatment team.
• Participates in Family Conferences and Interdisciplinary Team Meetings on an as needed basis with Case Manager.
• Reviews variance in plan of care concerning discharge planning with CM and/or CM supervisor as needed.
• Completes daily discharge planning verbal rounds with CM department to prioritize daily activities.
• Initiates discharge planning day one of referral to assist with LOS management.
• Works with third party payors and CM to satisfy discharge planning needs and obtain approval of post discharge plans.
• Implements plan and communicate possible options for d/c with regard to insurance benefits and
  contracted providers.
• Makes appropriate outside agency referrals.
• Follows through with all aspects of d/c planning across continuum of care.
• Provide supervision/preceptorship for department medical social workers pursuing advanced licensure
• Perform SBIRT evaluations, biopsychosocial assessments and crisis evaluations.

Qualification Requirements:

• Licensed Clinical Social Worker- Required Master’s Degree (Social Work) – Required.
• Knowledge of community resources used for discharge planning, hospital operations, excellent communication/presentation skills, knowledge of third party payment systems, Medicare/Medicaid programs.
• Maintains current knowledge base of community services through continuing education.
• Ability to multitask, set priorities and maintain organization.
• Computer skills.

Float Requirements:

• Floating may be required to any Common Spirit location within sixty (60) miles of the original assignment location or CommonSpirit-identified “float zone”.
• Float assignments may include duties outside of original assignment job requirements (including skill set) in accordance with Common Spirit policy.