Medical Social Worker Hospital at Home

Advocate Health • Charlotte, NC

8d • $31 - $46

About The Position

The Medical Social Worker provides psychosocial assessment, counseling, education, crisis intervention, and care-planning support for patients receiving Hospital at Home services and their social support systems. The role works with patients, families or other support people, hospital staff, physicians, and the Clinical Care Management team to address psychosocial needs and support appropriate care transitions.

The position assesses post-hospital care needs, helps identify appropriate levels of care and care settings, provides information about community resources, and makes referrals as needed. It also supports multidisciplinary planning, reports suspected abuse or neglect, identifies barriers to transitions across the healthcare continuum, and maintains accurate case records and medical-record documentation.

Requirements

• Master’s degree in Social Work from a program accredited by the Council on Social Work Education.
• Expertise with data management tools.
• Adherence to the National Association of Social Workers Code of Ethics.
• Frequent verbal and written communication in English.
• Ability to work in a fast-paced environment and move independently from one location to another.
• Ability to perform extensive walking, prolonged sitting, repetitive wrist motions, and occasional lifting of 10–20 pounds.
• Intact sight and hearing, with or without assistive devices.

Nice To Haves

• Licensed Clinical Social Worker (LCSW) credential preferred.
• At least one year of professional experience in a hospital or health-related setting preferred.

Responsibilities

• Interview patients and their social support systems to initiate psychosocial evaluations.
• Provide counseling, support, and education to patients and their social support systems, including assistance coping with hospitalization, disability, and chronic or terminal illness.
• Collaborate with patients, their social support systems, and the multidisciplinary team to establish and implement a plan of care addressing identified psychosocial needs.
• Advise hospital staff and physicians about emotional, social, and psychosocial aspects of patients’ illnesses and their effects on support systems; help integrate these considerations into care plans.
• Intervene effectively in crisis situations using crisis-intervention theory and skills.
• Complete psychosocial assessments for post-hospital care for designated patients and their support systems.
• Work with Clinical Care Management to assess and evaluate patients and support systems for appropriate levels of care and care settings across the continuum.
• Participate in multidisciplinary care-planning meetings.
• Maintain current knowledge of community agencies and resources for social, emotional, or financial assistance.
• Educate patients and their social supports about community resources and post-hospital care options appropriate to the patients’ ages, in collaboration with Clinical Care Management; make community referrals as needed.
• Report suspected child or adult abuse, neglect, or exploitation and serve as a liaison among the hospital, patients and their support systems, and the Department of Social Services during evaluation or investigation.
• Identify and document clinical, psychosocial, and financial barriers to smooth transitions across the healthcare continuum, and help identify and facilitate system improvements.
• Work with Clinical Care Management leadership to identify problems, recommend solutions, and work toward resolution.
• Develop and maintain accurate case records for referred patients and document in the medical record according to departmental standards.

Benefits

• Paid Time Off programs
• Health and welfare benefits, including medical, dental, vision, life, and short- and long-term disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
• Premium pay, such as shift and on-call pay, for applicable positions
• Incentive pay for select positions
• Opportunity for annual increases based on performance

What This Job Offers

• Job Type: Part-time