Position Summary :
Under the direction of the Director of Care Management, the Social Worker provides direct service to clients and their families.
The scope of practice includes but is not limited to psychosocial assessments, Discharge planning, and providing referrals for needed services in collaboration with physicians, evaluates and implements treatment regime and discharge plans for designated medical patient populations.
Essential Duties and Responsibilities :
- Facilitates discharge planning from admission. Assesses needs that may come up for patients and is proactive to prevent any delays in discharge.
- Active participation in IPOC (Interdisciplinary rounds) working closely with Case Manager, Nurses, and Physicians.
- Prepares psychosocial evaluations and care plans age appropriate to the patient / family needs.
- Assesses and diagnoses the psychosocial needs of the patients, caregivers, and families through initial history including medical, psychiatric, substance abuse, community resources, and ADLs.
As well as, considers risk management and how these needs are impeding the plan of care.
- Develops discharge plans relevant to patient needs, available options and patient preferences. Makes all appropriate referrals to other community service agencies in a timely manner, as evidenced by documentation.
- Demonstrates the skills and judgment necessary to implement the plan of care, interventions, and procedures necessary, with an emphasis on self-determination of the client system.
- Utilizes clinical skills including individual, couples, and group modalities to better meet the psychosocial needs of the patient and family to develop improved clinical skills and expertise.
- Maintains an up-to-date, accurate and appropriate record of all social work activities in patient's medical chart.
Qualifications :
- Minimum of 1 -3 years of experience
- Master's Degree in Social Work
- Licensed Clinical Social Worker Licensure required within 6 months of employment
- BLS Required
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