Social Worker MSW - Per Diem

Jupiter Medical Center•Lexington, MA

107d

About The Position

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Position Summary Under the supervision of either the Director of Case Management and direction, the social worker will provide accurate information to DME, SNF, LTAC, HHC agencies and other providers along the patients’ continuum of care. Teamwork is essential to implement the discharge plan with compliance of all regulatory agencies (ACHA, CMS, The Joint Commission, etc.). The MSW Social worker oversees coordinating patient discharge evaluations. The Social Worker is responsible for crafting a comprehensive discharge plan including where the patient is going, how the patient will get there and who the patient will see in the next phase of their treatment. Reviews and discusses the plan with the patient, family, representative and multidisciplinary care team to ensure all parties understand and agrees to the transition plan. Document accordingly in medical record. Coordinates planning an evaluation among various disciplines responsible for patient care. Responsible for coordinating family meetings when requested by the physician, family, or nursing team in an effort to provide a smooth transition to the next level of care and provide transparency in the transition plan. When identified during the initial transition planning assessment by either the primary RN Case Manager and/or social worker the MSW social worker may provide psychosocial interventions and document accordingly. After the patient is discharged from the hospital, the Social Worker remains available to answer any questions or provide new referrals if necessary. Knowledge of social and physical factors that affect functional status at discharge is essential in delivering a comprehensive and successful discharge plan. The Social Worker has a broad knowledge of local and federal community resources to help assist in safe discharges. Maintaining a complete and accurate file of appropriate community-based services, supports, and facilities where the patient can be transferred or referred. These services, supports, and facilities include Nursing Facility (NF) or Skilled Nursing Facility (SNF) care, long-term acute care, rehabilitation services, home Health care, Hospice, or other appropriate care. Performs other duties as assigned. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Requirements

Master’s degree in social work required.
2 years acute care experience, SNF, or home health experience.
Knowledge of community resources, general information of the healthcare system.
BLS Certification American Heart Association for Healthcare Providers.
Highly organized, empathetic, and capable of multitasking in a high-stressed environment.
High ability to set priorities, conflict management, and time management.
Pleasant personality and phone etiquette.
Excellent verbal and written communication skills.
High skill level in computer and other peripheral systems.
Customer service and negotiation skills are a must.
Responsible for assuring all state and federal documents are reviewed and completed timely and accurately.
Proficient assessment skills in identifying psychosocial needs, barriers to transition planning and home needs.
Ability to handle difficult situations in a way that promotes best outcomes for the patient and fiscally responsible for the patient and organization.
Effective time management skills.
Understanding of state and federal documentation requirements and compliance to these regulations.
Experience providing psychosocial interventions and therapy to acute ill patients and/or their family.

Nice To Haves

ACM Social Worker certification preferred

Responsibilities

Provide accurate information to DME, SNF, LTAC, HHC agencies and other providers along the patients’ continuum of care.
Implement the discharge plan with compliance of all regulatory agencies (ACHA, CMS, The Joint Commission, etc.).
Oversees coordinating patient discharge evaluations.
Crafting a comprehensive discharge plan including where the patient is going, how the patient will get there and who the patient will see in the next phase of their treatment.
Reviews and discusses the plan with the patient, family, representative and multidisciplinary care team to ensure all parties understand and agrees to the transition plan.
Document accordingly in medical record.
Coordinates planning an evaluation among various disciplines responsible for patient care.
Responsible for coordinating family meetings when requested by the physician, family, or nursing team in an effort to provide a smooth transition to the next level of care and provide transparency in the transition plan.
Provide psychosocial interventions and document accordingly.
Remains available to answer any questions or provide new referrals if necessary.
Maintaining a complete and accurate file of appropriate community-based services, supports, and facilities where the patient can be transferred or referred.
Performs other duties as assigned.