Social Worker (MSW) - Per Diem Days 9a - 5p, Women's Health, Atlantic Health Overlook Medical Center
About The Position
Works with the HealthStart team in identifying patients' psychosocial problems and develop care plans Identifies and addresses barriers to care and navigation challenges across the care continuum y prioritizing health and SDOH needs. Identifies and addresses gaps in internal and external resources, and sustainable connections to medical homes and sustainable social supports to improve the patient experience and achieve better outcomes Provide psychosocial assessment, sustainable care transitions, and structured support to help address social and economic barriers to positive health outcomes and empower patients to set and achieve their individualized health goals. Apply best practice interventions based upon care standards and referral and linkage to services to ensure behavioral and psychosocial needs are addressed, including but not limited to social needs, financial stressors, difficulty coping, behavioral health concerns or substance misuse, abuse and neglect, interpersonal violence, homelessness, functional decline, frequent ED visits or hospitalization, need for long-term care planning, etc. Care coordination criteria, completes initial intake during enrollment visit, orientates patient to all services and coordinate/monitor delivery of service and referrals reinforce health education and provide support Participate in performance improvement projects Facilitates the resolution of crucial problems in the individual/family situation relating to recovery or management of the illness or disability through counseling services to patients and significant persons to the patient's life. Criteria identifies and prioritizes areas for intervention and documents this information. provides related patient and family counseling and referrals around areas of dysfunction as appropriate. Other tasks as required by manager, director, or leadership.
Requirements
- Master's Degree in Social Work from an accredited school of social work required.
- Current LSW license in the state of New Jersey in good standing with the NJ Board of Social Work Examiners.
- Behavioral Health or case management background preferred
- 3-5 Year in Health related field, hospital experience preferred.
- Strong knowledge of community resources and social services, financial, insurance, and advocacy system.
- LSW license in the state of New Jersey in good standing with the NJ Board of Social Work Examiners.
Nice To Haves
- Familiarity with EPIC preferred.
- Exceptional organizational and time management skills with the ability to multi-task, problem solve, and balance and deliver results in a program with multiple projects, programs and priorities.
- Strong clinical, interpersonal, and analytical skills with clear verbal, telephonic and written communication.
- Ability to function within an interdisciplinary team and develop and enhance collaborations with local community agencies and organizations.
- Ability to navigate EMR and databases with demonstrated ability, including EMR documentation standards, Microsoft Office suite and metrics/outcome reporting.
- Strong interpersonal and communication skills, problem solving, ability to work withdiverse populations, compassionate service delivery.
- Bilingual (Spanish or Portuguese)
Responsibilities
- identifying patients' psychosocial problems and develop care plans
- Identifies and addresses barriers to care and navigation challenges across the care continuum y prioritizing health and SDOH needs.
- Identifies and addresses gaps in internal and external resources, and sustainable connections to medical homes and sustainable social supports to improve the patient experience and achieve better outcomes
- Provide psychosocial assessment, sustainable care transitions, and structured support to help address social and economic barriers to positive health outcomes and empower patients to set and achieve their individualized health goals.
- Apply best practice interventions based upon care standards and referral and linkage to services to ensure behavioral and psychosocial needs are addressed, including but not limited to social needs, financial stressors, difficulty coping, behavioral health concerns or substance misuse, abuse and neglect, interpersonal violence, homelessness, functional decline, frequent ED visits or hospitalization, need for long-term care planning, etc.
- Care coordination criteria, completes initial intake during enrollment visit, orientates patient to all services and coordinate/monitor delivery of service and referrals reinforce health education and provide support
- Participate in performance improvement projects
- Facilitates the resolution of crucial problems in the individual/family situation relating to recovery or management of the illness or disability through counseling services to patients and significant persons to the patient's life.
- Criteria identifies and prioritizes areas for intervention and documents this information.
- provides related patient and family counseling and referrals around areas of dysfunction as appropriate.
- Other tasks as required by manager, director, or leadership.
