Social Worker (MSW)

The Social Worker (MSW) provides an advanced clinical and trauma-based assessment addressing psychological, social, emotional, religious, cultural, financial, and health related needs while utilizing therapeutic interventions. The Social Worker will utilize strong communication skills, critically plan, implement and evaluate resources and services to determine the patient's appropriate level of care. This role collaborates with various interdisciplinary and post-acute providers; monitors progress and develops timely and individualized care plans tailored to each patient’s unique situation. This Role bridges the gap by advocating, promoting quality and cost-effective outcomes for the patient, family and the organization. The social worker responds to physician consultations for a variety of social needs throughout the facility. Active participation in program development and process improvement efforts is an expectation of the Social Worker (MSW) role.

• Assesses the psychosocial status of patients related to the patient’s illness and environment and communicates findings to the case manager. Carries out social evaluations and plans intervention based on evaluation findings.
• Maintains clinical records on all patients referred to social work. Adhering to the Organization's documentation and care procedures and standards of personal and professional conduct. Provides accurate and timely documentation consistent with the plan of care.
• Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs.
• Provides information to patients or families/caregivers and community agencies. Serves as liaison between patients or families/caregivers and community agencies.
• Maintains collaborative relationships with organization personnel to support patient care. Participates in the development of the total plan of care and case conferences as required.
• Assists patients to navigate benefit structure and financial resources.
• Assists physician and other team members in understanding significant social, financial, and emotional factors related to health problems.
• Assists in community outreach events and patient educational offerings.
• Participates in personal and professional growth and development.
• Provides oversite of assessment, planning, implementation, and evaluation of social service clinical care by members of the social work team. Assures proper documentation of social services in clinical records in compliance with state, federal, and Joint Commission standards.
• Other duties as assigned

• Master's Degree - Social Work degree - Required

• 2 Years - Experience in an acute care, nursing home, skilled nursing facility or home care setting - Preferred

• Basic Life Support (BLS) - Required Upon Hire
• Licensed Clinical Social Worker (LCSW) - Current certification or licenses as required by state law within the practicing state. - Preferred Upon Hire

• Must be able to travel between various system facilities and off-site locations as needed. - Required

Essential Technical/Motor Skills

• Fine motor skills required; eye/hand coordination, manipulation of small items, speaks clearly, input data; answer phone, type and documentation completed within organizational policy and completed electronically.

Interpersonal Skills

• Fine motor skills required; eye/hand coordination, manipulation of small items, speaks clearly, input data; answer phone, type and documentation completed within organizational policy and completed electronically.

Essential Physical Requirements

• Must be able to go from patient location to patient locations; sufficient strength and mobility to sit for long periods of time, written reference and resource materials;
• Must be able to move, stand, walk, bend, push, balance, reach, lift, kneel, crouch, stoop, pull.

Essential Mental Abilities

• Assesses patient and family strengths and resources, psychosocial and financial needs.
• Develops and updates care plan based on initial and ongoing assessment.
• Implements care plan to assist patient and family in using identified strengths and resources to address identified needs.
• Ability to recognize any changes in condition and report changes to case manager.
• Follows rules and instructions to get to patient homes.
• Must have organizational and time management skills.
• Must be adaptable to the many challenges of differing home environments.

Essential Sensory Requirements

• Vision; smell; hearing; and tactile skills

Exposure to Hazards

• Potential blood and body fluids; physical injury from combative patients.
• Infectious disease exposure from patients and family members.
• Road hazards; weather hazards; environmental hazards in patients’ places of residence.

Other Skills and Abilities

• Must be registered and successfully pass background check with the Family Care Safety Registry and other applicable state registries.
• Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.