Provides social worker assessment and treatment; assisting patients and families in the patient's place of residence as prescribed by a Physician. The Social Worker assists the patient and family with health related financial, social and emotional concerns and assists with effective coping skills.
- Provides Social Work Services in accordance with the Physician’s plan of care.
- Demonstrates competency in the skills required by the care center.
- Performs accurate and comprehensive assessments.
- Ensures that changes in the patient’s clinical status are communicated to other healthcare team members and the care center office staff in a timely manner (documented communication in the patient’s record).
- Coordinates care planning and delivery with the physician, patient/ family, other healthcare team members to facilitate optimal patient outcomes.
- Provides medical social work interventions and treatment based on an ongoing patient assessment/ reassessment and in accordance with Physician orders.
- Educates the patient and family members and other team members on medical social work interventions and treatment plan.
- Performs care planning, transfer and discharge functions in accordance with care center policy and applicable laws, regulations and standards.
- Participates in interdisciplinary team conferences/ patient care conferences in accordance with care center policy.
- Develops, prepares and maintains individualized patient care progress records with accuracy, timeliness and according to policies. Submits accurate and timely documentation per care center policy.
- Identifies risks or threats to the patient’s health in the patient’s environment and promptly implements appropriate interventions to reduce risks. Communicates identification of risks/ threats to the patient to the Physician and other members of the healthcare team to coordinate care effectively.
- Maintains knowledge of community resources, identifying appropriate resources to meet patient and family needs to facilitate optimal outcomes.
- Keeps abreast of social work trends and knowledge.
- Adheres to all applicable laws, regulations and standards.
- Complies with the care center’s policies.
- Participates in the agency’s Quality Assessment Performance Improvement Program and activities.
- Participates in in-service programs and provides educational in-service programs to agency staff as requested.
Required:
- Holds a Master’s or Doctoral degree from a school of social work accredited by the Council on Social Work Education; and
- Has 1 (one) year of social work experience in a health care setting.
- Meets state and federal requirements for this position.
- Current CPR certification