Social Worker MSW

Education Required: Master's Degree in Social Work Experience No Prior Experience Required Recent work experience in health care preferred Skills Good communication skills - Ability to communicate effectively in written format and/or oral presentations Strong analytical & problem solving skills; semi-independent in decision making Ability to maintain organization in a changing environment Exhibit initiative, responsibility & flexibility Must be able to initiate and understand research related to projects Learn and appropriately utilize all required computer applications, including but not limited to E-mail, Windows-based or Microsoft programs Ability to write effective documentation for processes and procedures.

Ability to make routine decisions in accordance with departmental policies and procedures.

Appropriate assessment skills Licensure/Certification/Registration License in Social work preferred Eligible to sit for, and successfully pass the test of certification as a certified Case Manager (CCM) or Accredited Care Manager (ACM) preferred Overall Physical Demands Material Handling Occasional Unilateral Lifting 5 Pounds Unilateral Carry 5 Pounds Repetitive Functional Activities Never Occasional Frequent Constant Walking X Above Shoulder Reach X Bending X Stairs X Forward Reach X Ladder X Squatting X Fine Motor Coordination X Static Balance X Sustained Squatting X Dynamic Balance X Gross Motor Coordination X Repetitive Kneeling X Sustained Kneeling X Simple Grasp X Crawling X Firm Grasp X Pinching X Sit/Stand Hrs per Day Hrs at One Time Sit 6 hours 2 hours Stand 2 hours 15 minutes Resource/Transitional Care Specialist Material Handling Occasional Unilateral Lifting 5 Pounds Unilateral Carry 5 Pounds Repetitive Functional Activities Never Occasional Frequent Constant Walking X Above Shoulder Reach X Bending X Stairs X Forward Reach X Ladder X Squatting X Fine Motor Coordination &nbs Position Competencies: Competencies are essential skills needed to be successful in a position.

These competencies are required to help the department maintain a high level of productivity and success.

Each competency will be evaluated by observation.

If evaluated by another method i.e.

simulation, discussion or post test please note in the comment box below each corresponding competency.

Department Performance: Responsible for the quality of services to enhance the experience of all customers, both internal and external.

Strives to meet departmental goals and expectations through the implementation of best practices; identifies challenges to meet goals; and provides solutions through innovation as evidence by department scorecard.

Participates in department/hospital performance initiatives to attain specific goals set forth by management.

Logs/documents per hospital policy and department standards.

Perform appropriate assessments: Conduct an appropriate psychosocial assessment (including family relationships, home environment, emotional status, resources for coping and post hospital options) to evaluate potential progression of care barriers, appropriate post hospital needs, ability to cope with social issues surrounding patients illness and risk of re-hospitalization.

Assessments include application of age specific principles growth and development and cultural influence, and include review of the medical record, patient/family interview, consultation with physician, nursing and allied health staff and evaluation of need for community resource linkage.

Communicates relevant aspects of assessment to patient/family and health care team.

Utilize appropriate techniques to meet the psychosocial needs of patients/families.

Uses appropriate skills in working with the identified population.

Conduct formalized holistic assessment including physical, mental, emotional, social, economic, cultural, and spiritual aspects on identified patients to determine best practice and barriers to a safe discharge and anticipating potential risks for readmission.

Participate in continuing education for case management department through facilitating and organizing education workshops.

Provide supervision for practicum students.

Apply advanced practice knowledge and skills based on appropriate social work theory and research.

Participate in ongoing research and program development to enhance/advance case management.

LMSW/LC SW-will provide specialized therapeutic interventions, assessment skills, and current treatment options to patients/families in learning to cope with diagnosis.

Active Team Member: Actively participate in daily huddles, patient care conferences, and hospitalist/nurses handoff reports to keep team up to date and maintain knowledge about treatment plan.

In collaboration with the Case Manager and healthcare team, develop timely, effective discharge and continuity of care plans (including home care and alternate care placement) with patient/family which minimizes non-acute days.

Helps team members understand the psychosocial issues that are impacting progression of care.

Pro actively participate as a member of the interdisciplinary clinical team to confirm appropriateness of the treatment plan relative to the patient's preference, reason for admission, and available resources.

Participate in the collaborative effort to problem solve identified barriers to a successful discharge plan.

Collaborate with Resource Center team in facilitating referrals to local, state and federal resources and arranging patient/family counseling or support groups after discharge.

Serve as a resource person to physicians, case managers, physician's offices, and billing office for coverage and compliance issues.

Update all involved parties regarding progress, revisions and other information related to progression of care and the discharge plan.

Uses interpersonal skills which convey a positive and supportive attitude to patients, families, physicians, and staff (e.g., active listening, good communication, telephone etiquette) Establish and maintain effective professional working relationships with patients, families, interdisciplinary team members, payers and external case managers.

Serves on departmental, hospital and/or community committees, councils and/or task forces in areas relevant to work assignments.

Discharge Planning/Transition of care: Timely response to referrals of patients/families requiring psychosocial interventions.

Facilitates or participates in interdisciplinary and family conferences as appropriate.

Educate patient/family and health care team regarding community resources.

Coordinates referrals to appropriate community services 100% to assist with social, financial, and environmental problems, and assists patient to resume life in the community.

Document interventions in the medical record in accordance with department standards.

Keep current on all regulatory changes that affect delivery or reimbursement of acute care services.

Identify and record episodes of preventable delays or avoidable days due to failure of progression of care processes.

Advocate/Support: Provide crisis intervention, supportive advocacy to help patient/family understand, accept and follow medical recommendations within the context of self-determination.

Assist patients and/or family with adjustment associated with illness, hospitalization and/ or alternative care placement based on assessment, principles of development and patient/family needs.

Facilitates decision-making process as needed.

Report and coordinate mandated child, disabled and elder abuse/neglect as required by law.

Initiate appropriate plan of care to address holistic, age-specific needs and reflect the patient's changing condition.

Uses appropriate skills related to knowledge of specific age needs and behaviors when communicating with and treating patients.

Temporary