Social Worker II-MSW - Main Social Work - Full Time - Days

The Christ Hospital Health Network•OH, OH

About The Position

The Social Worker II provides services to The Christ Hospital patients and families by assessing psychosocial needs and implementing discharge plans of care to assure continuity of patient care. The role provides psychosocial interventions, advocacy, and linkage with community resources. The Social Worker II assesses patients’ changing medical situations from a psychosocial perspective, including functional status, goals of care, and community support needs related to discharge planning. The role also assesses family structure and decision-making preferences, environmental and social risk factors, support systems, financial barriers, health literacy, behavioral health and substance use concerns, Social Determinants of Health needs, and risks of abuse or exploitation. The social worker documents assessments, treatment plans, interventions, and outcomes in accordance with regulatory and department standards. Working with the interdisciplinary treatment team, the Social Worker II develops and implements care plans, provides counseling and crisis management, supports healthcare decision-making, coordinates referrals and discharge arrangements, and advocates for patient safety and continuity of care. The position participates in rounds, conferences, education, collaboration, and process improvement, and contributes to the Social Work Department through leadership, clinical supervision, cross-coverage, staff orientation, and service improvement.

Requirements

Master’s degree in social work (MSW).
LSW or LISW required.
Maintain ongoing licensure through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board.
Exceptional interviewing skills with patients and families in crisis and people with a wide range of physical and emotional problems.
Ability to prioritize multiple simultaneous demands.
Medical and psychiatric competence, including knowledge of health policy, regulations, legislation, and community resources.
Self-awareness, professionalism, and sound judgment when handling emotional and confidential issues.
Excellent verbal and written communication skills.
Skill in social work assessment and treatment modalities for assessing and treating individuals, families, and groups.
Ability to integrate social work philosophy and ethics into professional practice.

Nice To Haves

Two years of clinical experience in a hospital, long-term care, or hospice setting is preferred.

Responsibilities

Assess patients’ medical situations from a psychosocial perspective, including functional status, goals of care, and community support needs related to discharge planning.
Assess family structure, dynamics, decision-making preferences, and the need to identify a surrogate decision maker.
Assess environmental and other risk factors, support systems, developmental issues, financial barriers, health literacy, chemical dependency and mental health concerns, Social Determinants of Health needs, and risks of abuse, neglect, exploitation, or intimate partner violence.
Assess readmission risk and coordinate plans for outpatient follow-up.
Document psychosocial assessments, treatment plans, interventions, progress, and outcomes in discharge-planning notes and the Social Work module, following regulatory and department standards.
Develop an intervention plan integrated with the interdisciplinary treatment team and consistent with ethical and legal considerations.
Provide psychosocial counseling, therapeutic interventions, and crisis management for patients and families.
Facilitate healthcare decision-making and resolve discharge-planning issues.
Provide psychosocial interventions related to abuse, neglect, intimate partner violence, human trafficking, adjustment to illness, bereavement, mental health, substance abuse, non-compliance, and other barriers to diagnosis and treatment.
Make mandated reports to local or state agencies and law enforcement as required by law.
Support patient health status, appropriate length of stay, and utilization of hospital resources.
Refer and connect patients with healthcare and community resources based on Social Determinants of Health screening needs.
Facilitate extended-care placement, hospital transfers, home care, hospice care, and durable medical equipment arrangements.
Advocate, mediate, and negotiate plans to maintain or improve social supports and patient safety.
Coordinate discharge plans with outpatient counterparts, insurance case managers, and community mental health or substance-abuse case managers to help prevent readmissions.
Attend daily unit-specific interdisciplinary rounds and participate in patient-care rounds, case conferences, and family conferences.
Collaborate with the interdisciplinary team to improve quality of care and efficiency, and maintain positive working relationships with healthcare teams and community agencies.
Educate patients and families about insurance benefits and the capacity of community resources to meet their needs.
Help the interdisciplinary team understand social and emotional factors related to illness; educate team members, residents, students, other disciplines, and community agencies.
Identify barriers in service-delivery systems and advocate for change.
Evaluate patient outcomes and participate in process improvement.
Provide leadership and delegated management responsibilities, clinical supervision to peers, bachelor-degree staff, and students, and mandatory or voluntary cross-coverage when needed.
Participate in orientation of new staff, support ideas to improve Social Work Department services, and identify complex clinical cases and seek supervision when appropriate.