Social Worker Amb, MSW

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Provides psychosocial support to patients and families as part of the inpatient Palliative and Supportive Care team to reduce and mitigate psychosocial distress and improve continuity of psychosocial care across hospital settings.
Works in conjunction with the both the inpatient and outpatient Palliative and Supportive Care teams and hospital Social Workers to provide seamless longitudinal care for patients and families under the palliative care service. Does not arrange or negotiate discharge disposition directly.

Primary Palliative Social Worker Responsibilities include:

1. Reduce and mitigate psychosocial distress in patients and families.
continuity of psychosocial care across hospital settings.
patients and families supported by the palliative care consultation service to outpatient clinics and resources.
post discharge contact to ensure discharge plan is secure and the continuation of additional palliative care support.
5. Optimize the efficiency and effectiveness of current social work services and the palliative care consultation team by provision of psychosocial support in patients with high palliative care needs.

Qualifications:Social Work experience in acute care and/or counseling setting.

All levels of experience and education will be considered for this role.

JOB DESCRIPTION:

• Acknowledges and appropriately prioritizes referrals from interdisciplinary team members patients and families with initial chart documentation entered within eight business hours of receipt of consult.
• Attends and actively participates in Trials and interdisciplinary team meetings in order to screen for high risk patients obtain and share information identify appropriate length of stay per DRG advance the patients plan of care identify and take action to resolve barriers and to coordinate safe and appropriate discharge to the proper level of care within the appropriate time frame.
• Maintains focus on the provision of quality service in a rapid and efficient manner in order to transition patients to the appropriate level of care within the time frame of the target length of stay.
• Updates the clinical team regarding discharge destination and date and time of anticipated discharge.
• Attends and actively participates in Triad Data Meetings and Team Meetings in order to identify and address system trends and barriers to the delivery of efficient patient care.
• Collaborates with insurance case managers and community care providers and initiates referrals to appropriate community resources.
• Maintains a thorough working knowledge of Medicare Medicaid and private payer regulations and processes.
• Maintains broad knowledge of resources and options for patients available within all levels of care including facilitates efficient access and movement of patient across levels of care and coordinates inter-facility transfer of patients to appropriate level of care.
• Ensures that a safe and timely discharge is attained with proper documentation and verbal reports shared with receiving facilities or agencies.
• Respects the confidentiality of all patient information and conforms to hospital/departmental policies on the handling and disclosure of patient information.
• Acts as a responsible steward of departments patient care funds exploring all viable options prior to requesting use of funds.
• Assesses patients and members of their support system in order to identify potential needs to determine appropriate level of care for discharge planning purposes and to identify necessary interventions.
• Evaluates family home environment and financial situation in order to develop safe and viable plan of care.
• Provides patient and family counseling and education regarding discharge planning and community resources.
• Provides supportive counseling for patients families and significant others who are experiencing anxiety or stress due to illness injury or physical limitations.
• Takes an active role in the coordination and facilitation of goal-oriented family meetings.
• Evaluates coordinates and acts in accordance with current laws and hospital policies in reporting targeted populations (suspected child/disabled adult/elder abuse or neglect).
• Demonstrates a high level of initiative and performs as a self-starter in daily activities.
• Efficiently covers for colleagues as requested and thoroughly conveys patient care status and plan of care in order to assure continuity and uninterrupted service upon colleagues return.
• Thoroughly prepares covering colleagues in advance of planned absences.
• Demonstrates the skills necessary to nurture teambuilding and growth in establishing and maintaining a cooperative relationship with professionals physicians patients family members and community agency representatives.
• Assumes responsibility for seeking guidance in areas of question by consulting supervisor and colleagues as necessary.
• Appropriately escalates cases.
• Acts in a professional caring customer service focused manner in all interactions with patients families peers medical team members and community agency representatives.
• Supports and participates in multidisciplinary patient/family education and care planning with the entire Healthcare team.
• Develops educational materials and programs to meet the needs of assigned patient population and to meet the education needs of the medical team and social work peers.
• In collaboration with supervisor pursues professional development opportunities through local regional and national forums.
• Participates as a member of professional organizations in order to establish resource network and to maintain knowledge of current practices trends and developments.
• Acts as a professional resource for colleagues within and outside the organization.
• Provides education to the community as needed. Documents in an accurate timely and thorough manner in accordance with departmental policy.
• Records assessment ongoing contacts and final discharge plan including level of care to which patient is being transferred.
• Completes all necessary paperwork and computer documentation in order to Assure continuity of care accurate reimbursement to the organization and compliance with regulatory requirements.
• Obtains and communicates information through timely and efficient use of available computer applications (Healthquest EeMR Groupwise Social Services Lotus Notes Database and the internet).
• Reviews and interprets Length of Stay Data Reports and Patient Satisfaction Survey Reports with intent of improving service delivery and meeting organization goals.
• Completes additional assignments/projects as directed by the department leaders.

MINIMUM QUALIFICATIONS:

• Masters in Social Work from an accredited Institution.
• Social work Internship required.
• Internship in acute care setting or post-acute care setting preferred.
• Knowledge of software applications. ACM CCM preferred.

PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs 34-66% of the workday (frequently); 01-10 lbs 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking Occasional sitting Close eye work (computers typing reading writing) Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock Floor Surfaces Hot/Cold Temperatures Indoor/Outdoor conditions Latex Lighting Patient care/handling injuries Radiation Shift work Travel may be required. Use of personal protective equipment including respirators environmental conditions may vary depending on assigned work area and work tasks.

Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.