DescriptionJob Summary
Provides education and support services to patients families and staff. Also provides psychosocial assessment counseling crisis intervention and information/referral services on a consultation basis to patients and families. Works collaboratively with the Clinical Care Management team to effect positive patient and family outcomes and to ensure efficient utilization of resources.
Essential Functions
- Interviews patient/patients social support system to complete initiate psychosocial evaluation.
- Provides counseling/support/education to patient/patients social support system. Assists patients/patients social support system in coping with stress related to hospitalization disability chronic/terminal illness.
- Works collaboratively with the patients and patients social support system to establish and implement a plan of care with multidisciplinary team that meets the patients identified psychosocial needs.
- Serves as a resource to hospital staff and physicians regarding emotional social and psychosocial components of the patients illness and its effects on their social support system. Assists and facilitates the multidisciplinary team in understanding and integrating these aspects into the plan of care.
- Intervenes in crisis situations appropriately and effectively applying crisis intervention theory and skills
- Completes psychosocial assessments for the patients post hospital care for designated patients and their support system.
- Works with the Clinical Care Management team to assess and evaluate the patient/patients social support system for the appropriate level of care or environment setting to meet care needs across the continuum.
- Participates in multidisciplinary care planning meetings.
- Maintains current knowledge and researches availability of community agencies and community resources for social emotional or financial assistance.
- Provides information education to patients and their social support on community resources and options for post hospital care appropriate to the age of the patients served in collaboration with the Clinical Care Management team. Make referrals to community agencies as needed.
- Reports suspected cases of child & adult abuse/neglect/exploitation. Serves as liaison between hospital patients/patients social support system and Department of Social Services during evaluation/investigation.
- Identifies and records clinical psychosocial and financial barriers to a smooth transition across the healthcare continuum and assists in identifying and facilitating system improvements.
- Works with Clinical Care Management leadership to identify problems recommended solutions and works toward resolution.
- Develops and maintains accurate case records of each referred patient. Documents in medical record according to departmental standards.
Physical Requirements Works in an office type setting extensive walking throughout the facility. Prolonged periods of sitting reviewing medical records documentation. Repetitive wrist motion and occasional lifting of 1020 pounds. Requires frequent verbal and written communication in English. Intact sight and hearing with or without assistive devices is required. Must be able to handle a fast paced environment moving independently from one location to another.
Education Experience and Certifications
Masters degree in Social Work from a program accredited by the council in Social Work Education required. LCSW preferred. At least 1 year professional experience in hospital or health related setting preferred. Expertise with Data Management Tools. Adherence to National Association of Social Workers Code of Ethics.