Medical Social Worker- PACE, Full time, Days

Job Description

The Medical Social Worker provides individuals, families, and / or groups with the psychosocial support needed to cope with chronic, acute, or terminal illnesses. Services include advising patients and family caregivers, providing patient education and counseling, and making referrals for other services. The Medical Social Worker assists patients and their loved ones with maximizing family, community and health care resources.

Responsibilities

Collaborates with other healthcare professionals and interdisciplinary team members to evaluate patients' medical or physical conditions, assess client needs, and provide information to create individual care plans

Conducts and completes comprehensive psychosocial assessments

Conducts and completes mental health and suicide assessment screenings

Facilitates clinical counseling and emotional support by utilizing and enacting clinical therapy models

Participates in and conducts discharge planning in collaboration with internal and external facilities / stakeholders as needed

Refers patient, client, and / or family to community resources to assist in recovery from mental or physical illness and to provide access to services such as financial assistance, legal aid, housing, job placement or education

Provides effective care and case management per plans of care

Participates in required supervision for staffing of cases and professional growth towards licensure

Assesses the capacity of the home caregiver to cope with the participant / patient's needs in the development of the plan of care

Engages clients in exploration of goals for care. Promotes and empowers clients to be an active participant in healthcare decisions

Facilitates family meetings as needed

Maintains knowledge of current regulatory, accreditation, and third-party payer guidelines as well as state and federal regulations that impact client populations

May perform other duties as assigned or requested and job specification can be modified or updated at any time

Qualifications

Required Education : Master's Degree in Social Work (MSW) from an accredited institution.

Required Experience : Minimum of 1-year experience working with the elderly patient population along with 1 year of case management experience and / counseling experience in a healthcare setting or social work delivery system.