General Summary of Position
MedStar Health is looking for a Social Worker LICSW to join our team at MedStar House Call Program!
As a Social Worker LICSW, you will screen and provide care coordination, psychosocial support to a panel of frail elders receiving home-based primary care. Leads outreach activities within community that align with overall MHCP initiatives. Member of an interdisciplinary team of providers including physician, nurse practitioner, and care coordinator responsible for ensuring outcomes aligned with goals of care for their patient panel. Trains and supervises entry level case managers according to MHCP patient census and resource allocation.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Screen patients, family members, and caregivers to evaluate medical, psychosocial, financial, and environmental needs. Formulates an accurate assessment, an intervention plan, and assists with enrollment in all eligible programs. Assists the patient, family members, and caregivers in resolving barriers that impede optimum social and health goals. Maximizes the patient, family member, and caregiver's ability to comply with medical recommendations and goals of care. Serves as local expert and collaborates with the interdisciplinary care team on available community and government resources to support patient's goals of care.
Provides education, advocacy with service networks, emotional support, and crisis intervention as needed to patients and families. Utilizes resources, such as family and community-based agencies, to assist patients in resuming life in the community. Recommends and processes applications for other placement such as nursing homes, assisted living, hospice, and other treatment centers as necessary/appropriate.
Documents all activities including, but not limited to, completion of an intake assessment; comprehensive goals of care plan that includes clinical team member input, patient, family members, and/or caregiver; presentation of the completed goals of care to patient and/or designee for acceptance of service; communication with service providers and city/state agencies; and all other activities related to efficient administration and maintenance of the patient in the home.
Provides case management services to patients in jurisdictions where MHCP is enrolled as programmatic provider for case management to 1915 (c) Home & Community-Based Services Waiver. Maintains waiver service requirements including orientation, training, documentation, and billing processes. Determines patient level of care criteria according to State's designated instrument and conducts comprehensive annual reevaluation, and periodic review according to program guidelines.
Trains and supervises entry level case managers according to MHCP patient census and resource allocation. Provides behavioral health counseling to patients, caregivers, and/or groups according to MHCP mission and strategy. Documents and bills for these services according to MHCP policies. Participates in clinical competency review meetings with Chief Social Worker to actively improve quality of care and review workload.
Qualifications:
Master's degree in social work.
3-4 years' experience in commercial ambulance business.
Licensed Independent Clinical Social Worker in respective state of employment.
Current American Heart Association (AHA).
Home health care experience preferred.
Social Worker MedStar Health House Call Program • Washington, DC, US
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