About The Position

The Social Worker responds to referrals from the interdisciplinary team and provides psychosocial support to patients and families. The role includes completing psychosocial assessments and developing and implementing plans of care that address patient needs, promote continuity of care, and facilitate transitions to the next level of care. The Social Worker provides education and consultation and serves as a liaison to the healthcare team regarding patients’ and families’ emotional, psychological, social, financial, and developmental aspects of care. The position supports patients and families through assessment, counseling, crisis management, advocacy, care coordination, discharge planning, and referrals to community resources. The Social Worker collaborates with patients, families, healthcare professionals, coworkers, management, and community agencies to maximize health status and support safe transitions across the continuum of care. The role also includes documentation, participation in quality and safety initiatives, and ongoing professional development.

Requirements

  • Master of Social Work (MSW) from an accredited School of Social Work.
  • Current license from the State of Ohio Social Work Board: LSW, LISW, or LISW-S.
  • 1–2 years of equivalent experience required.
  • For employees working in UCMC Psychiatric Services, NCI-APS (Nonviolent Crisis Intervention with Advanced Physical Skills) certification must be obtained within 90 days of hire.

Nice To Haves

  • 3–5 years of equivalent experience preferred.

Responsibilities

  • Engage patients and families in the helping process and assess psychosocial and mental health needs.
  • Identify barriers to treatment, enhance patient health status and satisfaction, improve resource utilization, and build rapport for ongoing support.
  • Follow tasks and responsibilities specific to the department, service, or clinic.
  • Develop a comprehensive intervention plan in collaboration with patients, families, and the healthcare team.
  • Implement and monitor plans of care, providing counseling and social work interventions for crisis management, mental illness, adjustment to illness, material assistance, healthcare decision-making, sexual assault, domestic and partner violence, elder abuse, competency concerns, and other psychosocial barriers.
  • Advocate, mediate, and negotiate to support patient health, strengthen social supports, and facilitate safe transitions across the continuum of care.
  • Educate families and provide education about advance care planning; assist with advance directives paperwork.
  • Initiate referrals to community resources and facilitate discharge to home or an appropriate care or treatment facility.
  • Summarize care plans with patients and families, answer questions, and provide linkages to community resources and services.
  • Participate in evaluating patient outcomes and identifying barriers in service delivery systems.
  • Assess transportation needs and arrange transportation as appropriate.
  • Facilitate referrals to disease-specific agencies, including those related to employment, financial resources, support services, and chemical dependency services.
  • Consult with and train medical staff and other healthcare professionals on psychosocial issues related to illness and barriers to improved health status.
  • Collaborate with coworkers and management to support the ongoing development of the Social Work Department.
  • Participate in customer-service activities, staff meetings, mandatory departmental training, continuing education, and quality and safety initiatives.
  • Maintain positive working relationships and knowledge of community agencies and services.
  • Maintain timely, clear, and concise documentation; write reports as needed; and respond to email requests for information.
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