The Social Worker, LMSW is responsible for providing direct services to patients/families by collaboration with physicians and other hospital personnel. This position requires interaction with medical staff and Allied Health partners. The Social Worker will assess the patient's ability to participate actively in their medical care post discharge, educate patients/family and refer them to the appropriate community resources, and remain up to date on resources available for patients/families. They will facilitate referrals and transfers to nursing homes, skilled nursing facilities, rehab, and long-term acute care facilities, coordinating for the appropriate mode of transportation as needed. Additionally, they will arrange for durable medical equipment, out-patient services, Home Health and/or Hospice care as needed, and complete high-risk screens and length of stays screens on unit in accordance with DPP# 102. The role involves providing therapeutic services including chemical dependence assessments, mental health assessments, advanced illness planning, and chronic disease management. They will utilize crisis intervention and problem-solving skills to facilitate and enhance patient and family’s ability to meet acute, and ongoing medical, and psychosocial needs. This role also includes completing Home Health Visits and assessments timely for patients referred from UMC Home Health, developing treatment plans, and participating in unit huddles to identify discharge needs. Documentation in Cerner is required to be complete and timely. All other related assigned duties are also part of the role.
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Job Type
Full-time
Career Level
Mid Level