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Description

• Collaborate effectively with the healthcare team, patients and families and relevant community resources to develop and implement and individualized plan of care.
• Complete a psychosocial assessment that includes social, economic, cultural, age-related and behavioral factors, history of child, elder or domestic abuse, prior psychiatric or substance abuse treatment, family and social support systems and all other available resources as appropriate to the clinical situation.
• Continue to monitor and evaluate the plan of care, options and available services throughout the hospital stay to effectively meet the patient and family's need. Reassess the plan of care as status changes or at a minimum of every 3 days.
• Demonstrate a knowledge of reimbursement systems, the ability to educate patients and families regarding payer requirements / coverage for post-acute care services and the ability to effectively advocate on behalf of the patient.
• Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the National Association of Social Workers as well as the State Board of Social Workers, Marriage and Family Therapists and Professional Counselors.
• Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients.
• Demonstrates expertise in accessing social systems by providing resource-specific information to patients and families, initiating contact with appropriate resources and facilitating the patient / family's ability to accept referrals.
• Educate and advocate for patients and families to enhance their ability to make informed decisions regarding medical care, discharge planning, advance directives and end of life care.
• Maintain extensive knowledge of federal, state and local assistance programs and community resources that affect patient needs.
• Provides accurate, timely and appropriate documentation of all social work interventions in the medical record per regulatory policies and procedures.

Qualifications

• Bachelor of Social Work degree required from a school accredited by the Council on Social Work Education.

Licensure, Certifications, and Clearances:

• Act 33 Child Clearance with Renewal
• Act 34 Criminal Clearance with Renewal
• Act 73 FBI Clearance
• Older Adult Protective Services Act