The Clinical Social Worker (CSW) provides patient/family interventions to facilitate quality patient care and timely discharge planning. Coordinates with physicians, nurses, Clinical Resource Management (CRM) Case Managers and other disciplines within the care team, including outside agencies, to expedite the appropriateness, effectiveness and timeliness of post acute care and discharge planning. Using a variety of treatment modalities, CSW assists patients and families in the resolution of social, financial and emotional problems related to illness, health care and rehabilitation. Assists to effectively and efficiently provide complete comprehensive discharge plans to decrease LOS by having services available in a timely manner. Provides additional care for the psychiatric, ETOH/drug abuse, rape, neglected adult and child, and self-pay patients; and the highest possible care for planning a safe discharge in a timely manner and assists with projections for discharge and IDRs daily. This position includes meeting the needs and providing services to all age groups-infancy through geriatrics, as well as providing services for the culturally diverse population MedStar Washington Hospital Center serves.
Master of Social Work degree from a program accredited by the Council on Social Work Education is required.
Two years of progressively more responsible experience, in a medical setting (hospital, nursing home, clinic, etc). Use of clinical data gathering methods, computer systems and the demonstrated ability to identify and analyze problems is also desired.
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On The Job Experience
Approximately six to twelve months to gain familiarity with the Hospital environment, department routines and procedures, and the full range of job duties.
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District of Columbia Licensed Graduate Social Worker (LGSW) is required.
Knowledge, Skills & Abilities
PROBLEM SOLVING: Job requires a high level of problem-solving due to the complexity of the situations encountered.
INTERNAL CONTACTS: Internal contacts necessary to effectively advise, consult, or counsel others to gain cooperation and acceptance of ideas or actions.
INDEPENDENT JUDGEMENT: Work assignments are received in the form of results expected, due dates, and general approach to be taken. Ability to incorporate clinical skills, theoretic concepts and knowledge of costs in determining effective and appropriate course of action.
Primary Duties and Responsibilities
Interviews patients/significant others to obtain data on personal, social, medical, emotional and cultural needs to identify and assess problems requiring Social Work intervention; documents same. Evaluates patient and family information, selects appropriate Social Work methods, develops, implements and documents a plan in partnership with the multi-disciplinary team.
Provides professional expertise as a vital member of the interdisciplinary team to coordinate transition management for patient and arrange for appropriate care to ensure safe and timely discharge. Identifies barriers that result in delays in transition and develops strategies to minimize; communicates successful strategies with team. Effectively balances patient safety and discharge needs with hospital length of stay goals.
Actively contributes, participates and follows through on interventions identified in Department Long Stay Rounds and Unit Discharge Planning Rounds.
Provides professional support and counseling to patients/families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnoses, changes in living situations and bereavement. Establishes a cohesive comprehensive plan. Documents interventions and outcomes.
Manages patient/family and provider team meetings to develop and plan strategies to overcome psychosocial and economic issues related to patient's acute hospital stay, care progression and transition. Is liaison between patients/families and internal/external providers of care on social issues.
Provides consultation, assessment, coordination and/or referral in cases of suspected or actual child or adult abuse, neglect, domestic violence and/or sexual abuse.
Proactively identifies potential and/or actual barriers to a safe and timely discharge to assure efficient discharge planning. Identifies patient/family/significant other's ability to participate in the plan and pro-actively establishes strategies to overcome barriers identified.
Demonstrates knowledge of resources available in the system and community and utilizes them effectively in supporting the patients during the episode of care. Advises physicians of availability of appropriate services for patients who require post hospital care. Coordinates the planning and referrals for those patients.
Maintains current knowledge of clinical treatment modalities related to assigned patient populations, clinical improvement strategies, and reimbursement issues
Maintains accurate, concise, and timely documentation in Allscripts and other WHC record-keeping systems according to standard practice.
Assists with departmental projects and other functions such as assigned to support department operations and/or assist with patient specific issues that may arise.
Actively participates in ongoing development of CRM staff by preparing and presenting two case studies per year to team.