Clinical Social Worker LCSW - Heart Transplant

Cedars-Sinai•Los Angeles, CA
•$49 - $79

About The Position

The Clinical Social Worker LCSW provides social work services in collaboration with other Cedars-Sinai Medical Center staff to address patients’ and families’ psychosocial needs and discharge planning. The role delivers clinical social work services, supports patients’ benefit from medical or psychiatric care and post-hospital planning, and serves as a clinical resource and mentor to non-licensed staff handling complex cases. The position also participates in continuing education and staff development, program planning, and the organization of social work activities in assigned service areas. The social worker develops, plans, implements, and evaluates social-service interventions for the corresponding departments. The role identifies patients with psychosocial needs in inpatient and outpatient settings and develops patient care goals and treatment plans with the care team. It also consults with physicians and nurse case managers on patients with complex psychosocial needs and advance care planning.

Requirements

  • Master’s degree in Social Work from an accredited college.
  • Three years of experience in an acute care hospital setting.
  • California Licensed Clinical Social Worker (LCSW) license.

Nice To Haves

  • Two years of clinical social work experience, including palliative or hospice care and discharge planning.
  • Experience in project management or process improvement.

Responsibilities

  • Conduct psychosocial evaluations, identify issues affecting optimal patient care, and develop treatment plans.
  • Provide crisis intervention and individual and family counseling.
  • Discuss the psychosocial implications of illness with interdisciplinary teams, including consultation on treatments and resources to address patients’ problems.
  • Evaluate and implement social service programs for patients with psychosocial issues, with a focus on seniors and patients who are catastrophically or chronically ill.
  • Triage patients within corresponding teams and assist in coordinating care delivery, including DPA/POSLT; document relevant information in the case management system.
  • Coordinate transitions of care between inpatient and outpatient follow-up settings.
  • Initiate or participate in team care conferences involving patients, families, and care providers.
  • Review daily caseloads, assess progress toward short- and long-term goals, and modify goals with providers and the care team based on patient outcomes.
  • Compile and present statistics and reports about patient outcomes and document findings in the patients’ electronic medical records.
  • Follow up on communications with referral sources, including primary care providers, family members, case managers, home health personnel, community social workers, and health plans.
  • Serve as the department’s social services liaison, particularly for advance care planning discussions, complex discharge planning, and biopsychosocial assessments.
  • Refer patients to agencies offering supportive services that optimize health plan benefits and identify alternatives for patients who need specific services.
  • Arrange community resources such as Meals on Wheels, transportation, adult day care, and information lines, and assist with long-term planning for patients transitioning to institutional settings.
  • Participate in advance care planning initiatives.
  • Participate in departmental continuing education and staff development programs, program planning, and the organization of social work activities.
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