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Social Worker
4 months ago
- Involves client and family in case planning decisions.
- Provides social work intervention to clients and their families eligible for the Healthy Beginnings and/or Mobile Health Clinic services.
- Helps to facilitate care transitions, referrals to scoial services, and other specialits when needed.
- Keeps the director/manager informed of problematic cases, especially those involving legal or risk management issues.
- Provides assistance and advocacy to clients in obtaining financial resources and government entitlements.
- Develops and maintains tracking system of social services referrals /outcomes.
- Provides information and counseling for advance directives and health care power of attorney.
- Provides social work intervention to patient/families eligible for the NFP Program.
- Responds to referrals from healthcare team members to identify available services for case specific needs.
- Collaborates with nurse home visitors / supervisors / mobile health clinic staff to meet the needs of high risk populations.
- Details (direct or incidental) possible to enhance service/care is communicated across service lines and among disciplines.
- Documents all client interactions, significant observations, interventions, and actions taken in the client's medical record in an appropriate and timely manner.
- Formulates, develops, and implements a plan utilizing appropriate social work interventions. Provides education and counseling to clients and families around issues related to adaptation to the client's illness and/or life situation. May utilize crisis intervention, brief and long-term individual, group, and family therapies.
- Facilitates education/training modules to assist RN staff managing basic social work needs.
- As requested/required, participates in community coalition in support of NFP as well as promotes public awareness ofHealthy Beginnings Services and the Mobile Health Clinic.
- Develops and maintains community relationships to support client referrals.
- Assesses physical, emotional, social, spiritual, and environmental needs of clientsand their families as they relate to the NFP domains.
- Assists clients and their families in establishing goals and outcomes through therapeutic relationships by providing education, support, and referral resources.
- Consults and collaborates with other professionals involved in providing services to women and families.