Social Worker - PRN

Description

The Social Worker functions as a member of the interdisciplinary team and aids patients/families as they transition from the hospital to the community through safe and effective discharge planning. The Social Worker facilities a relationship with family members, identifying stressors interfering with their perception of the hospital stay and communicating the needs, perceptions, concerns, & family goals to the team. The Social Worker facilitates effective communication between the team and the family as the patient moves through the process of admission to discharge.

  • Performs social service screening, psychosocial assessment, and discharge planning assessment on each patient admitted or readmitted to the hospital within 72 hours of admission.
  • Includes all elements in the assessment per policy.
  • Writes assessment in the medical record clearly and succinctly.
  • Develops a plan of care for social services as part of the psychosocial assessment.
  • Incorporates plan of care into the interdisciplinary care plan.
  • Updates care plan in a timely manner (weekly as part of the team conference report).
  • Identifies those patients and family members who need counseling.
  • Interacts with patients and significant others in a warm, empathetic, and accepting manner.
  • Helps patients and significant others to focus on and resolve issues of importance.
  • Coordinates with the case manager and physician to facilitate family conferences upon admission and for discharge planning.
  • Works closely with clinical disciplines on mandatory family education (care by a parent) before discharge.
  • Documents progress in the medical record.
  • Documents discharge barriers in the medical record.
  • Locates appropriate community resources.
  • Informs patient and/or significant others about referrals both verbally and in writing.
  • Assists team in the development of the appropriate level of care needed for the patient upon discharge.
  • Communicates to patient/family the team recommendation of the level of care after each team conference.
  • Communicates pertinent information regarding patient care to other staff members.
  • Reviews interdisciplinary care plans and acts as a patient/family advocate when patient/family are unable to attend.
  • Coordinates family conferences, per hospital policy, for those parents that request a verbal update after treatment conferences.
  • Communicate discharge barriers to the team to ensure early intervention towards CPS referrals.
  • Initiate early intervention to CPS should discharge barriers be too significant to resolve.
  • Maintains care provider relationships for discharge planning and referral sources.
  • Performs other duties as assigned.
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Job Requirements

Experience

  • Minimum two years experience as a Social Worker / Case Manager.
  • Prefer in a medical setting

Education Required

  • Bachelor’s degree in Social Work.
  • Masters preferred.

Additional Information

LICENSURE/CERTIFICATION:

  • Current license in social work from the state of Texas