Social Worker LSW - Care Facilitation & Utilization Management

Carle Health•Pekin, IL

6d•$30 - $52

About The Position

As a member of the interdisciplinary team, the Social Worker contributes professional social work knowledge and skills to services that support patient and family access to health care and address psychosocial factors influencing a patient's health. The role includes psychosocial assessment, counseling, patient and family education and advocacy, resource referrals, care-transition planning, and coordination with healthcare and community professionals. The Social Worker also documents assessments and interventions in the electronic health record and may mentor new employees or supervise social work interns as requested.

Requirements

Master's degree in Social Work.
Licensed Social Worker (LSW) credential from the Illinois Department of Financial and Professional Regulation (IDFPR).
Basic Life Support (BLS) certification from the American Heart Association (AHA) within 30 days.
Knowledge of the social work process.
Awareness of and sensitivity to cultural diversity.
Knowledge of physiological elements of illness and their impact on psychosocial functioning.
Knowledge of the healthcare system and resources available to patients.
Strong interpersonal skills and ability to work as a collaborative team member.
Knowledge of social determinants of health.
Strong verbal and written communication skills.
Use of usual and customary equipment needed to perform essential job functions.
Valid driver's license and automobile insurance in accordance with state and/or organizational requirements.

Responsibilities

Perform psychosocial assessments to identify patient needs, strengths, preferences, and barriers to care.
Provide crisis intervention and supportive counseling to patients and families.
Educate patients and families about advance directives and facilitate and document advance care planning conversations, including First Steps and IPOST/IPOLST.
Maintain knowledge of community resources and refer patients and families to health and social services, health insurance, public assistance, and other resources.
Assist with care-transition planning and collaborate with UPH, community services, and facilities to support patient safety and continuity of care.
Complete PASRR or other screening tools when appropriate for transition to another care provider.
Document assessments, interventions, and referrals in the electronic health record according to documentation standards.
Advocate for patient confidentiality, informed consent, autonomy, and self-determination.
Assess patient safety for possible abuse, neglect, or other risks; collaborate with the care team and file DHS reports or guide others in reporting as mandated.
Provide information and support regarding guardianship and conservatorship issues.
Support culturally competent services and arrange interpreter services as needed.
Educate patients and families about available services and supports and help patients access eligible resources.
Educate physicians and other team members about psychosocial implications of illness and disease progression for patients and families.
Mentor new employees and/or supervise social work interns as requested.
Help the care team establish patient-centered goals and identify psychosocial and behavioral strengths and barriers.
Facilitate or participate in interdisciplinary team meetings to review and revise patient plans of care.
Facilitate patient and family meetings to enhance family support of patient care.
Collaborate with social workers and other professionals across the continuum and in the community to ensure continuity of care.