Social Worker MSW- Neuro

Job Details

Provides social work services, assesses and enhances the patient?s / family?s / significant other?s ability to cope with physical, emotional and environmental problems related to illness / convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.

Job Description

Essential Functions

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.

Conducts psychosocial assessment / reassignment of patients / significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs.

Develops and implements a plan of intervention that addresses identified needs related to needs / problems identified during assessment.

Collaborated with the multidisciplinary team to ensure appropriate discharge planning

Provides counseling for patient / family / significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care

Advocates on behalf of the patients / families to enable them to obtain necessary services.

Competencies (Knowledge, Skills, and Abilities Required) :

Knowledge of : Medical terminology and disease process; Community resources; Insurance regulations and requirements

Skill in : Work with multidisciplinary teams, outside resources, patients / families / significant others

Ability to : Establish an appropriate plan to safely discharge patients to the next level of care

Minimum Education and Experience Requirements :

Education :

Graduate from an accredited Masters of Social Work program required. Masters of Social Work

required.

AND

Experience :

Minimum of 2 years hospital based social work experience.

Minimum Certifications, Registration or License Requirements :

Active LSW or LCSW required for New Jersey positions and preferred for Pennsylvania positions.

Other Functions

Serves as a resource and provides counseling and intervention related to treatment decisions and end of life care issues.

Refers patient / significant other to community based services / resources to meet patient?s continuum of care needs.

Coordinates team and / or family conferences when necessary to facilitate patient?s care progression.

Provides psychosocial counseling and crisis interventions to patients / significant others with needs. Provides interventions in cases involving child abuse / neglect, domestic violence, elder abuse and institutional abuse. Provides intervention in cases involving guardianship, foster care, adoption, psychiatric assessment and placement, Advance Directives (Center City), trauma and substance abuse.

Facilitates completion of all placement related documentation in nursing home grants, applications, etc. Completes referrals to options programs where appropriate.

Documents in accordance with hospital and departmental requirements.

Works with Case Managers in providing discharge planning services per departmental policies and

procedures in collaboration with the multidisciplinary team and patient / family.

Identifies patients and locates family and / or next of kin.

Educates patients / significant others on the process for obtaining health insurance. Provides appropriate documents / information to apply for welfare insurance.

When necessary, initiates medical assistance application in a timely manner (Center City) or ensure medical assistance application has been initiated by identified external agencies (excludes Center City). Follows up with identified external service regarding application.

Provides psychosocial assessment and intervention as well as documents in the electronic medical record

updates throughout patient?s hospitalization, discharge planning process and relevant post -acute care

Supervises field placement of MSW students.

When appropriate, refer case to the Placement Official Social Worker to assist in obtaining placement for the patient?s discharge (Center City and Abington / Lansdale).

Precept and mentor new staff members to their role and department.

Weekend Tasks

Facilitates and coordinates discharge plans for patient identified to leave on the weekend, including

homecare / hospice services; transportation; post-acute facility placements

Perform assessments and develops relevant interventions specifically for trauma patients (Abington)

Obtains relevant post-acute authorizations

Manages Livanta appeal determinations and if necessary address alternate discharge plans

Provides updates to post-acute facility liaisons regarding possible weekend discharges

Reviews discharge orders to determine which patients can be transitioned to the next level of care that

day (JNE)

Assist with completing relevant 302 paperwork, when necessary

Documents updates for the week day staff per department procedures.

Population Specific Patient Care Responsibilities

Yes ? No ?

Decision-Making Authority

Decisions are made requiring limited interpretation of policies, procedures, or instructions.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Jefferson University Physicians

Primary Location Address

901 Walnut Street, Philadelphia, Pennsylvania, United States of America