Social Worker- Coord. Care RFT

Hunt Regional Healthcare•Greenville, TX

6d•Onsite

About The Position

The Social Services Worker is a social worker, licensed by the State of Texas, who assists in coordinating the discharge planning functions at Hunt Regional Healthcare. The SW also assesses patients' social factors and connects patients with internal and external community resources. The SW works closely with nursing personnel, physicians, other hospital personnel, as well as patients and outside agencies.

Requirements

Bachelor of Social Work degree granted by an accredited school/program of social work.
Must maintain Texas state licensure in social work - current LBSW, LMSW, or LCSW credentials required.
Effective written and verbal communication and negotiating skills with all levels of internal and external customers.
Must demonstrate positive relationship building with Coordinated Care co-workers, medical staff, patients, and other members of the clinical care team.
Must demonstrate the ability to effectively implement changes
Able to demonstrate the knowledge and skill necessary to assess the care appropriate to the age of the patient.
Possess the ability to assess data reflective of the patient's status and interpret the appropriate information relative to the patient's age-specific needs and provide care needed, including but not limited to principles of growth and development, psychological needs, physiological needs and the geriatric population.
Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
Attends the required corporate integrity and compliance training and education programs.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Complies with all HIPAA standards.

Nice To Haves

Masters of Social Work degree granted by an accredited school/program of social work.

Responsibilities

Assists in coordinating the discharge planning functions.
Assesses patients' social factors and connects patients with internal and external community resources.
Works closely with nursing personnel, physicians, other hospital personnel, as well as patients and outside agencies.
Identifies patients with social needs through social assessments, consults, and requests from patients and families.
Responds to referrals within 24 hours of referral and documents findings in the medical record.
Counsels with patients and families on needs such as coping with their diagnoses, decision-making, crisis situations, end of life issues and mental health issues.
Educates patients and their families of the resources available to meet their needs.
Works closely with the patient/family and the health care provider to coordinate appropriate and timely discharges.
Obtains and maintains current and thorough knowledge of local social service agencies which may be utilized to help meet patient needs.
Works closely with other disciplines to identify patient needs.
Assists in identifying patients with financial needs and make appropriate referrals/arrangements for follow-up.
Assists patients/families in securing medical equipment which may be needed after discharge.
Assists in making post-discharge arrangements for patients who have identified needs.
Understands the relationship between discharge planning and length of stay, and works closely with Utilization Review personnel so as to assist in discharging patients in the timeliest manner possible from a discharge planning perspective.
Coordinates mental health services for patients with mental health needs.
Perform comprehensive mental health risk assessments as indicated by patient need.
Assess the patient's risk of self-harm and/or risk of harm to others as indicated.
Assessment of severity and acuity of symptomology.
Analyze and interprets all relevant data to determine treatment recommendations and priorities.
Develop a treatment plan in collaboration with the multidisciplinary team.
Formulate with the client mutually agreed-upon, measurable treatment goals and objectives.
Document assessment, diagnosis and treatment plan in the medical record.
Provide on-going assessment, treatment planning and goal setting.
Provide treatment, which includes individual psychotherapy sessions and family therapy sessions as outlined in the patient's individual treatment plan.
Provide brief supportive counseling, skills, training and psychoeducation for patients in the interim until they qualify for and await services from local mental health providers.
Collaborates and communicates with team members to provide holistic integrated treatment.
Screens for psychoactive substance toxicity, intoxication, withdrawal symptoms, aggression or danger to others, potential for self-inflicted harm or suicide, and coexisting behavioral health problems.