Social Worker-MSW-Clinic-Administration (ELCCC)

Job Description:

Education:

Required: Master of Social Work (MSW)

Licensure/Certification:

N/A

Experience:

Preferred: Social work experience in healthcare setting

Essential Responsibilities:

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Conducts comprehensive biopsychosocial assessments to understand patient’s life story, needs, goals and preferences, including understanding cultural and linguistic factors, in the areas of behavioral health, substance use, abuse/neglect, financial, medical and other needs.
• Facilitates behavioral change necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach treatment goals.
• Facilitates and provides tailored social and emotional support for the patient related to coping with problem(s) being addressed; may be required to counsel with patients/loved ones regarding end-of-life issues.
• Helps the patient contextualize health education provided by the patient’s treatment team and educates the patient and/or caregiver on how to best participate in medical decision-making.
• Performs periodic administration of SDOH survey tools and monitoring of related SDOH, if applicable.
• Conducts screenings to evaluate the needs of patients for behavioral health and support services.
• Provides SDOH management services for behavioral health conditions, including psychoeducational counseling and crisis intervention as necessary.
• Sets personalized goals and creates action plans and conducts follow-up/on-going interventions as appropriate.
• Builds patient self-advocacy skills in ways that are more likely to promote personalized and effective treatment of their problem(s) identified.
• Coordinates with clinical, health education, community health and other team members in the provision of services to patients and care transitions.
• Helps the patient arrange access to medical care, including securing medical or community-based appointments, identifying appropriate providers for care needs, identifying appropriate community-based resources for SDOH related to problem(s) identified during the initiating visit, and for accessing all clinical care services necessary.
• Performs coordination of receipt of needed services from practitioners, providers and facilities, home and community based services, and caregiver if applicable.
• Conducts coordination of care transitions between and among health care practitioners and settings, including referrals to other clinicians.
• Conducts communication to and from practitioners, home and community-based services regarding the patient’s psychosocial needs, functional deficits, goals, and preferences.
• Serves as a resource to interdisciplinary team concerning social issues.
• Serves as a field instructor for social work students as well as a mentor to social work team, if applicable.
• Collaborates with interdisciplinary team to promote continuous process improvement, which results in efficiency, cost effectiveness, and the highest level of clinical excellence.
• Calls in and writes APS, CPS and suspicious injury reports in collaboration with the interdisciplinary team when warranted.
• Documentation will follow documentation standards and will demonstrate intervention that supports services provided; documents using facts only without attitude, judgment or opinions; includes all telephone calls made with person’s name and phone number.
• Assists in program development and implementation for support services programs (cancer lecture series, teleconferences, support groups, etc.); leads or co-facilitates a support/educational group as needed, if applicable.

Essential Skils:

• Written and verbal communication skills
• Ability to establish and carry out complex plans of care for key diagnoses
• Well-developed biopsychosocial assessment and intervention skills
• Ability to listen, interact and communicate with a wide variety of cultural backgrounds and socioeconomic classes
• Ability to deal concretely and psychologically with a variety of crises
• Ability to organize efforts around helping clients have a positive experience
• Ability to work independently and as a team member
• Critical thinking skills
• Self-starter; driven to take action without needing prompting
• Problem solving skills to identify issues and formulate effective solutions
• Ability to develop and maintain support groups for cancer patients and/or loved ones, if applicable
• Knowledge of Centers for Medicare and Medicaid Services (CMS) Health Equity Services and Social Determinants of Health (SDOH) activities, if applicable
• Knowledge of regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition