About The Position

Knowledgeable about disease, treatment and psychosocial implications for individual patients and families as it pertains to their age and stage of psychosocial development; provides appropriate interventions and discharge planning services to patients and families; facilitates a smooth transition for the patient throughout the continuum of care by accessing hospital, community and governmental resources; pragmatic in approaching End of Life and ethical issues and performs other duties as assigned. Provides clinical supervision to peers, bachelor’s degree staff, and students.

Requirements

  • Bachelor’s degree in Social Work.
  • Licensed LSW State of Ohio.
  • Knowledge of casework principles, including diagnosis, assessment, crisis intervention, and treatment planning.
  • Techniques in individual and family supportive counseling.
  • Knowledge of community resources, public assistance systems, Medicare/Medicaid.
  • Familiarity with accepted professional, ethical, and regulatory standards within the existing medical community and professional organizations.

Nice To Haves

  • Ability to prioritize many simultaneous demands and tolerate frequent interruptions.
  • Self-awareness, professionalism, and good judgement when addressing emotional and confidential issues.
  • Excellent verbal and written communication.
  • Preferred: Master's degree.
  • Preferred: One year experience in out-patient setting.

Responsibilities

  • Assesses constantly for best resource allocation with patient management activities both in hospital and community systems to advocate for cost containment without jeopardizing patient quality efforts.
  • Completes initial and ongoing assessment of the patient and family's response to the diagnosis, living environment and discharge planning needs.
  • Identifies and reports appropriate discharge barriers and avoidable days in order to promote the resolution process within the hospital or community systems.
  • Provides assessment for the source and significance of social, psychological, environmental, emotional, and economic factors that may contribute to the health and response to treatment of both inpatients and outpatients of all ages and documents appropriately in the medical record.
  • Actively coordinates patient and family interventions with the attending physician, patient, family, case managers, and other staff.
  • Develops treatment plan based on the assessment and mutually agreed upon goals with the patient, family and physician.
  • Develops a plan of intervention, which is integrated with the interdisciplinary treatment team to establish continuum of care in congruence with ethical and legal considerations.
  • Advocates, mediates, and negotiates a cohesive plan for maintaining or improving social supports and patient safety.
  • Provides supportive counseling, education, and crisis management to patient/family.
  • Facilitates healthcare decision making and resolution of discharge planning issues.
  • Provides psychosocial intervention for: neglect/abuse, adjustment to illness, bereavement, non-compliance and other psychosocial barriers to diagnosis and treatment.
  • Maximizes health status and minimizes length of stay and utilization of hospital resources.
  • Provides referral and linkage to health care and community resources.
  • Evaluates the effectiveness of interventions and actions in relation to the intended goals of the discharge plan.
  • Revises intervention strategies and discharge plan as necessary.
  • Identifies barriers in service delivery systems and advocates for change.
  • Evaluates patient outcomes and participates in process improvement.
  • Collaborates with interdisciplinary team to enhance quality of care and efficiency.
  • Maintains a positive working relationship with healthcare team and community agencies and services.
  • Assists interdisciplinary team in understanding significant social and emotional factors related to illness.
  • Functions as a liaison for the patient and the facility both internally and externally.
  • Maintains networks for professional growth and awareness.
  • Works collaboratively with the health care team to facilitate the plan of care for inpatients and outpatients, as appropriate.
  • Assures chart documentation consistently meets the department and hospital standards for accountability and confidentiality.
  • Recognizes legal responsibilities and identifies area of concern to Risk Management and Legal Services.
  • Maintains current knowledge and is familiar with federal and state regulator guidelines, institutional policies, and payer source policies.
  • Documents interventions timely.

Benefits

  • Comprehensive, affordable medical, dental and vision plans.
  • Prescription drug coverage.
  • Flexible spending accounts.
  • Life insurance w/AD&D.
  • Employer contributions to retirement savings plan when eligible.
  • Paid time off.
  • Educational Assistance.
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