Clinical Social Worker II (LD)

University of California, San Francisco•San Francisco, CA

About The Position

The Clinical Social Worker II provides social work services to patients and families facing illness, hospitalization, and medical treatment. The role addresses complex psychosocial needs, assists with eligibility for social programs and funding, connects patients with community assistance, provides crisis intervention, and coordinates care and discharge planning, including for living liver and kidney donors. The social worker collaborates with case managers, nursing and medical staff, and ancillary departments to respond to psychosocial needs, support safe and timely discharge, and address continuing-care needs within fiscal realities. The position works within a collaborative, multidisciplinary care model to support care progression and patient outcomes. It provides services without discrimination based on personal or social characteristics and participates in department education, quality improvement, and practice improvement activities. The role also includes psychosocial assessment and intervention, support for complex cases, patient and family education and counseling, coordination of post-acute resources, documentation, and coverage or project work as assigned. Flexibility to orient and work at all UCSF Medical Center locations is required.

Requirements

Master’s degree from a CSWE-accredited School of Social Work.
Knowledge of relevant community resources appropriate to patients’ illnesses, symptoms, mental status, and functional impairments.
Knowledge of medical and psychological consequences of illness and its impact on social functioning.
Resourcefulness and effective written and oral communication, diplomacy, organizational, and analytical skills.
Ability to work independently and assertively, and to use creative problem-solving, systems planning, and patient-care management in a high-volume work environment.
Ability to work effectively and collaboratively with interdisciplinary teams.
Basic pager, telephone, and computer skills, including use of the internet.
Flexibility to orient and work at all UCSF Medical Center locations.

Nice To Haves

Experience (internship or career) in a healthcare and/or hospital setting is preferred.
Current California Clinical Social Work license in good standing is preferred.
Three years of experience in a healthcare setting is listed as required under preferred qualifications; hospital experience is preferred.

Responsibilities

Assess patients’ and families’ psychosocial risk factors, including prior functioning, support systems, reactions to illness, and coping ability; provide psychosocial interventions based on risk screening.
Address the emotional, social, and financial consequences of illness or disability, including complex family dynamics that affect patient care and discharge.
For patients with significant psychosocial needs, act as primary care manager in collaboration with the case manager, coordinating clinical resources and transition planning from admission through discharge and addressing barriers to care and timely discharge.
Meet with providers, care teams, and patients to establish medical-readiness goals and primary and backup discharge plans; lead multidisciplinary rounds, track milestones, assign tasks, and address or escalate barriers.
Reassess patients and adjust discharge plans as needed; complete required documentation in APeX and patient records.
Participate in interdisciplinary team planning and discharge planning for complex patients, and coordinate care with multidisciplinary teams and post-discharge providers.
Educate patients, families, and physicians about post-acute options and patient choice.
Assess, intervene in, and report domestic violence, child or elder abuse, and other reportable situations in accordance with legal requirements and UCSF policies.
Collaborate with Psychiatry and other teams on psychiatric holds, mental health or substance-use concerns, and suicidal or homicidal ideation.
Provide counseling and intervention regarding treatment decisions and end-of-life issues; identify surrogate decision makers, facilitate advance health care directives and POLST forms, and coordinate probate conservatorship applications when appropriate.
Maintain timely, accurate, and complete medical-record documentation and submit required statistical data.
Attend department, hospital, and community in-services; participate in quality improvement and program planning.
Provide oversight and direction for activities delegated to Resource Coordinators and/or Patient Care Navigators.
When available and directed by the Social Work Supervisor, provide clinical supervision to CSW II staff pursuing LCSW licensure in compliance with California BBS requirements.
Participate in coverage as needed and assigned; perform other duties and short-term project work as assigned; comply with UCSF policies and department documentation standards.