Medical Social Worker - Inpatient Case Management - SRS - Full Time - Day Shift

Sharp HealthCare•San Diego, CA

6d•$43 - $62

About The Position

What You Will Do Provide consultation, and psychosocial counseling and support services to the Sharp Health Care customer base. To mobilize patients and families personal and environmental resources to receive maximum benefits of medical care and achieve the fullest personal and family functioning.

Requirements

Master's Degree In Social Work.
3 Years experience as an MSW.
Hospital or skilled nursing facility case management experience.
Hospice/Palliative Care experience in outpatient and/or inpatient settings.

Nice To Haves

California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences -PREFERRED
Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED
HPCC Certified Hospice and Palliative Nurse (CHPN) - Hospice and Palliative Credentialing Center -PREFERRED

Responsibilities

Works in close collaboration with palliative team members, primary care physician, patient/family and all team members involved in the patient’s care.
Effectively participates in IDT meetings and care conferences.
Maintains on-going communication with team members.
Maintains up-to-date community resource information including but not limited to: Extended care facilities Home health services In-home care services Financial resources Spiritual support services Hospice and end-of-life care services Protective services/reporting laws Final arrangements
Provide community resource information to patients and families as appropriate based on needs assessed.
Assists with completion of final arrangements in timely manner (if patient/family do not opt for hospice services).
Completes comprehensive initial psychosocial assessment.
Assesses psychosocial status/needs throughout plan of care including but not limited to: Support network Safety concerns (including suicide risk factors) Caregiver status/plan Coping with chronic or terminal illness Financial issues Bereavement needs Final arrangements
Participates in the plan of care for patients based on initial and on-going assessment.
Assesses bereavement needs upon death of patient (if patient/family do not opt for hospice services).
Follow up either through clinic, hospital or telephonic to continually assess patient/family needs. Frequency to increase as patient's disease progresses or as determined by patient/family and interdisciplinary team.
Utilizes therapeutic counseling and skilled interventions to meet the psychosocial needs of patients.
Assists with the completion of end-of-life care documents.
Manages and assists with the end-of-life options act processes.
Provides education on role of MSW as part of team.
Provides counseling related to end-of-life issues/anticipatory grief.
Provides counseling/education related to long term planning.
Provides counseling/education/appropriate intervention related to urgent caregiver and safety concerns.
Attends staff and discipline meetings, required and relevant inservices.
Participates in committees and task forces as requested.
Synchronizes/submits patient documentation within agency-defined timeframes.
Completes all documentation in accordance with agency standards and requirements.
Completes individualized, detailed documentation that accurately reflects patient/family situation.
Interview each patient/family for anticipated needs post hospitalization.
The plan and interventions will be documented in the EMR (e.g., Cerner & Touchworks), case management software (e.g., Essette).
Responsible for leading and documenting the care coordination, updating the plan, and facilitating necessary coordination of services.
Collaborate with the outpatient and inpatient teams to assure a smooth transition through the continuum of care.
Participate in venues to reduce barriers to discharge.
Collaborates with Care Specialists (CS’s) to assure appropriate referrals for care and services are directed to the appropriate network providers, and obtains prior authorization for in network and out of network services as appropriate.