Job Overview
Overview:
Responsibilities/Job Description:
- Plans and implements treatment and transition care plans based upon a psychosocial assessment that is integrated into an interdisciplinary care plan.
- Provides a range of social work interventions that include case management, counseling, crisis intervention, and advocacy in assisting patients and families reach their goals. Identifies and recognizes rapidly changing situations and quickly intervenes to prevent or resolve the emotional crisis.
- Arranges, mobilizes, utilizes, and may coordinate a comprehensive range of community resources which most effectively meet the identified patient and family needs.
- Takes an active role in facilitation of interdisciplinary communication as it relates to patients and families experiencing complex psychosocial issues.
- Formally and informally educates patient/family and health care team members regarding the social work role, pertinent patient care issues, and population specific information.
- Serves as a preceptor or field instructor for social work undergraduate training as appropriate to their skills related to a range of psychosocial issues and interventions.
- Serves as patient advocate and liaison with physicians, families and community to ensure continuity of care.
- Documents psychosocial assessment, progress notes, care plans and discharge/transition plan in the electronic medical record.
- Identifies and participates in Quality Improvement, research and program evaluation initiatives that focus on improving health care services
- Demonstrates knowledge and compliance with MHealth Fairview and Social Work practice, ethics and standards.
- Complies with the legal and regulatory law including mandated reporting requirements.
- Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
- Partners with patient care giver in care/decision making.
- Communicates in a respectful manner.
- Individualizes plan of care to meet patient needs.
- Modifies social work interventions based on population served.
- Provides patient education based on as assessment of learning needs of patient/care giver.
- Fulfills all organizational requirements
- Completes all required learning relevant to the role
- Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures and standards.
- Fosters a culture of improvement, efficiency and innovative thinking.
- Performs other duties as assigned
Qualifications:
Education
Experience
License/Certification/Registration
Preferred
Experience
More Information
- Remote Work Part-time remote work