MSW Social Worker-1 Vanderbilt Clarskville Hospital

Vanderbilt University Medical Center•Clarksville, TN

About The Position

The Social Worker evaluates the psychosocial needs of patients and their family support systems and coordinates discharge plans for identified patient populations. The role serves as a liaison between the facility and external resources, facilitates timely discharge planning and follow-up for anticipated post-acute interventions, and provides crisis intervention and support. The Social Worker also assists the Resource Manager with patient movement across the continuum of care and identifies and tracks barriers to patient throughput. The role collaborates with patients, families, the interdisciplinary team, hospital staff, physicians, outside agencies, and community resources to address psychosocial and discharge needs. It includes assessing needs, arranging appropriate services and referrals, documenting care coordination, supporting access to appropriate healthcare resources, and tracking barriers and variances to improve care processes. The position requires a Tennessee Licensed Master Social Worker credential, a master’s degree, and one year of relevant work experience.

Requirements

Tennessee Licensed Master Social Worker (LIC-Licensed Master Social Worker - Tennessee).
Master’s degree.
One year of relevant work experience.

Responsibilities

Performs comprehensive psychosocial assessments of assigned patients.
Assesses patient discharge needs and facilitates services needed to address identified needs.
Evaluates suspected abuse and neglect referrals and makes official reports.
Develops individual care plans for recurring patients, including education about accessing healthcare services at the appropriate level of care.
Educates under-resourced patients and families about potential and available resources.
Collaborates with the interdisciplinary team to develop, implement, evaluate, and revise discharge plans addressing identified psychosocial and discharge needs.
Documents professional recommendations, care coordination interventions, and case management activities for communication with the healthcare team.
Participates with the interdisciplinary team to ensure psychosocial and discharge needs are addressed.
Communicates professionally with physicians, patients and families, hospital staff, and outside agencies as a liaison.
Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
Collaborates with the Case Manager to make appropriate referrals to third-party payer disease and case management programs for recurring patients and patients with chronic disease states.
Facilitates patient throughput, quality outcomes, and efficient transitions between levels of care.
Tracks and trends barriers to care, makes recommendations, and develops action plans to improve processes and systems.
Provides psychosocial support to patients and families through crisis intervention.
Seeks ways to control costs without compromising patient safety, quality of care, or services delivered.
Advocates for identified needs and makes appropriate referrals.
Connects the facility with community resources to enhance community outreach coordination.
Tracks and trends variances and barriers related to access to care.
Adheres to established policies, procedures, and standards of care.