Social Worker/MSW Non-MNA - Care Management - Per Diem
Summary: The Clinical Social Worker is responsible the management of the social, emotional and financial wellbeing of the patients identified as needing the services of the Clinical Social Worker. The Clinical Social Worker is responsible for the discharge plan, exercising appropriate assessment and intervention skills. The Clinical Social Worker will accept referrals from the outpatient areas and refer to community agencies as necessary. The Clinical Social Worker will provide education/consultation to the Nurse Managers and Nursing Staff to ensure achievement of quality patient outcomes.
Responsibilities: Must possess eexcellent assessment, diagnostic and crisis intervention skills as well as eevidence of professional development. Responsibilities: Collaborates with the PCP to identify high-risk medical/social management patients. Develop an individualized plan with the PCP for appropriate services for the patient. Coordinate discharge/follow up activities. Discuss with families the financial ramifications of their decisions and provide guidance in placement issues. Provide individualized psychotherapy, supportive counseling and group therapy as needed. Make referrals to community agencies when appropriate. Identify potential legal or risk management issues and discuss with Director. Ensure that resources are managed in a cost-effective manner while achieving positive clinical outcomes. Identify service needs, systems issues and opportunities for expansion of services. Participate in continuing education programs that are relevant to job function. Act as a patient advocate. Document initial assessment, proposed plan, any changes to plan and final discharge plan in the medical record. Documentation will be in a timely manner. Communicate in a timely manner with Skilled Nursing Facilities, Community Health Agencies, Physicians and other staff. Complete statistical reports as requested by supervisory staff. Educate PCPs and clinical staffs on alternative care management options including high-tech home care, skilled nursing facility capabilities, and disease management initiatives. Educate patients regarding managed care and Medicare processes/regulations. Provide patient teaching to patient and/or family. Promote Clinical Social Work services within legal, ethical and professional standards. Demonstrate effective leadership skills. Serve as a resource for members of the Case Management department. Provide education/consultation as needed to other health care team members and to health care consumers. Attend UMCM meetings as assigned and scheduled. Participate in the facility Quality Improvement Plan through unit and/or divisional quality control/quality improvement activities. Maintain current up to date knowledge of regulatory requirements. Collaborate with other agencies for the education and benefit of the staff and hospital. Represent the department on hospital wide teams for the betterment of service to the patients.
QUALIFICATIONS: A Masters degree in Social Work and experience in a clinical setting is required. Current Licensure in Massachusetts as Licensed Clinical Social Worker is required.