Student Social Worker- SHS

STUDENT SOCIAL WORKER

About Us : At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect.

That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose : The Student Social Worker works in collaboration with the patient / decision maker, case managers, physicians, and interdisciplinary team in order to develop and execute a discharge plan for patients that require complex discharge planning.

The student social worker is responsible to assist patients and families to identify the psychosocial barriers that impact the discharge planning process.

This role provides assessment, advocacy, education, information, referrals, coordination, counseling, and crisis intervention for assigned patients.

Services are provided in both the inpatient and outpatient settings.

This role works in conjunction with the multi-disciplinary team in order to develop a discharge plan that is safe, effective, and agreeable to the patient / decision maker. Key Job Activities :

Completes an assessment, evaluates available information, develops, and implements discharge plans to meet the identified needs of the patient.

This is done in collaboration with the patient / surrogate decision maker and the healthcare team.

• Assists patients / significant others with understanding and following medical recommendations in order to restore the patient to their optimal level of functioning.
• Provides education, linkage, advocacy, and coordination of community services in order to meet the patient’s needs. Actively facilitates referrals to community agencies and keeps current on services available.
• Actively engages the health care team to further their understanding of the social and emotional factors that impact the discharge plan.

Participates in rounding and communicates with the team to develop the care plan.

• Provides education and assistance on advance directives and when requested their completion. Participates as an advocate in end-of-life care planning when requested.
• Identifies and communicates with the team any psychosocial and economic barriers that will impact the progression of care and transition to the next level of care.

Actively works to resolve these issues when possible.

• Documents all patient related interactions in the medical record in a timely manner on the date of occurrence. sinaichicago.org
• Participates in multidisciplinary rounds providing professional recommendations for the next level of care based on their assessment.

Advocates on behalf of the patient.

Consults, assesses, refers, and coordinates interventions in cases of suspected abuse or neglect for children, vulnerable adults, elderly adults, sexual assault, and domestic violence victims.

Completes all reporting requirements.

Identifies, assesses, and makes recommendations related to guardianship, adoption and other legal matters. Assists with locating and confirming legal surrogate decision makers.

When indicated makes recommendation for externally appointed guardian and completes all paperwork and communications required by the court.

• Identifies potential high-risk complications, including those that may result in readmission and / or barriers to discharge and addresses these with the patient and healthcare team.
• Provides psychosocial assessment and crisis intervention in the Emergency Department. In addition to discharge planning, the assessment, advocacy and interventions for trauma related patients and families is completed.

Referral and engagement of outside agencies is secured and follow up information provided.

Provides referral information and assistance with linkage to the subsequent levels of care and community organizations.

This includes but is not limited to substance abuse, behavioral health, support groups, housing, medication and follow up care.

Coordinates and implements the complex discharge plan for high-risk patients with post-care needs (i.e., SNF, LTAC, home health, DME, psychiatric setting, etc.

Provides timely and accurate referral information to the patient / decision maker and receiving organization.

Provides timely follow-up evaluation and intervention of post discharge services in order to ensure continuity and adequacy of post discharge services.

Communicates follow up with written documentation and communication with the involved care team members.

Performs other duties as assigned.

Education and Work Experience : Bachelor’s degree required and current enrollment in a Social Work program at a master’s degree level

Healthcare or related field work experience

Knowledge and Skills :

• Ability to create and analyze data, perform gap analysis.
• Proficient in Excel and other Microsoft Office products
• Outstanding oral and written communication skills
• Ability to work independently in accordance with policy and procedure.
• Ability to thrive in an unstructured environment
• Experience Preferred in EPIC and MEDITECH software systems preferred Certifications / Licenses :
• None Workplace Conditions : PHYSICAL DEMANDS :

PI253511208