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Clinical Social Worker, LCSW

3 months ago

Beverly Hills, California, United States Cedars-Sinai Full time
Job Description

A Little More About What You Will be Doing

The Clinical Social Worker, MSW is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for corresponding Department/s. Is responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. Is responsible for developing patient care goals and treatment plans as agreed upon by the patient's care team. Is also available to physicians and nurse case managers as a consultant for those patients with complex psychosocial needs and advance care planning.
  • Evaluates and implements social service programs for patients with psycho/social issues focusing on seniors, catastrophic and chronically ill patients
  • Develops social service documentation tool/templates in EMR for Social Work consults, family counseling and group sessions and IS reports for outcome measurements
  • Performs triage for patients within corresponding team(s) and assists in coordinating patient care delivery, including DPA/POSLT and documents pertinent information in the case management system
  • Implements transitions of care between inpatient and continued outpatient follow up and vice versa
  • Initiates team care conference to include patient, family and care providers
  • Evaluates daily caseload and assess achievement of long and short term goals; Modifies goals with providers and care team based upon patient outcomes
  • Compiles and presents statistics and reports relating to patient outcomes and document findings in the patients EMR
  • Follows up on communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc.
  • Acts as the social services liaison for the department, particularly in the areas of: Advance Care Planning discussions, Complex discharge planning, Biopsychosocial assessments
  • Refers patients to agencies that provides supportive services optimizing patients health plan benefits
  • Assists in arranging community resources (i.e. meals on wheels, transportation services, adult day care, and info-line) and in the long term planning for patients transitioning to institutional setting
  • Provides alternatives for patients requiring specific services
  • Acts as the liaison to Population Health department in regard to chronic disease state management programs
  • Assists in the development and implementation of new policies and procedures for the department
  • Participates in advance care planning initiatives
  • Attends ISP team rounds and participate in interdisciplinary collaborations. Assists in addressing recommendations from psychiatry and neuropsychology, including coordinating discharge to substance abuse treatment centers and mental health programs
  • Utilizes clinical judgment in making recommendations that will assist in addressing psychosocial barriers to treatment and discharge planning, coordinates discharge to B&C/ALF for often complex cases and under-resourced patients
Qualifications

Education

Graduate of an accredited School of Social Work with a Master's Degree

Experience

Minimum of 1 year of inpatient hospital experience required

Licenses/Certification

Licensed Clinical Social Worker (CA LCSW) required