MSW Social Worker

Healthcare Recruitment Partners•Altamonte Springs, FL

1d•Onsite

About The Position

MSW Medical Master Social Worker Altamonte Springs, Florida The MSW, Medical Social Worker, receives referrals for individuals from at-risk populations from interdisciplinary team members. The Medical Social Worker ensures patient-centered Care Coordination through the Continuum of Care. The MSW ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Medical MSW is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital needs, development of a transition of Care Plans and initiation of the implementation of the transitions of Care Plans prior to the discharge of the patient. The MSW is responsible for optimal patient flow/throughput to enhance Continuity of Care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The Clinical Social Worker communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and are core competencies. The MSW facilitates the collaborative management of patient care across the continuum. The MSW intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with Transitions of Care or Discharge Planning. The MSW provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning, and Care Coordination. The Medical Master Social Worker, Licensed, is knowledgeable of post-hospital care and services available to the patient.

Requirements

Masters in Social Work (MSW) experience in an Acute Hospital setting
Licensed Clinical Social Worker (LCSW) or Licensed Clinical Social Worker Associate (LCSW-A) per state requirement
Care Management experience
Knowledge of state and federal guidelines pertinent to Medical Case Management

Responsibilities

Escalates issues barriers to appropriate level of Care Management leadership
Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan
Proactively identifies patients who no longer meet medical necessity and escalates potential denials, documents avoidable days, and facilitates progression of care
Collaborates with Utilization Management staff for collaboration on patient status changes and medical necessity discussions
Ensures all patients on assigned unit(s) are moved timely and effectively to appropriate levels of care
Ensures reassessment of discharge needs provided anytime a patient’s condition changes and/or the circumstances impacting the provision of post-hospital care changes
Serves as a resource to provide information and intervention related to treatment decisions, terminal illnesses and end-of-life issues
Provides grief counseling and crisis intervention skills
Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the Healthcare System
Provides de-escalation services for patient/family as appropriate
Provides Motivational Interview techniques for patients with substance use and addictive disorders
Provides patient/family education, adjustment-to-illness counseling, grief counseling and crisis intervention
Provides education to patients/families/caregivers regarding resource options and coping with diagnosis, treatment and prognosis
Works in collaboration with hospital and community agencies to obtain needed services and resources for patients/families/caregivers
Provides assessment and reporting interventions
Provides consultation services for patients who may possibly lack decision making capacity
Follows the guardianship (temporary/ permanent) policies and procedures and coordinates with Care Management leadership throughout the process
Facilitates full team discussion including patient and family when ethical dilemmas arise
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization