Licensed Master Social Worker

4 weeks ago

McAllen, United States DHR Health Full time
VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

Under general supervision, evaluates, counsels and aids transplant patients, living donors and/or families requiring one or more forms of psychosocial services. Evaluates potential candidates for transplant or living donation to assess personal coping skills, finances, employment, food, housing, physical and mental impairments, and/or similar areas. Secures and evaluates applicable related information. Refers clients to community resources and other organizations when indicated. The Social Worker is on-site and available five days per week, and an occasional holiday and will be on call as required by departmental scheduling. Participates in patient care conferences, quality and other transplant meetings. Ensures adherence to all CMS and UNOS regulations pertinent to transplant and donation care and the role of the social worker.

POSITION EDUCATION/ QUALIFICATIONS:
• Graduate of an accredited school of Social Work
• Valid license as a Master Social Worker to practice in the State of Texas
• Working knowledge of theory and practices of social work is required

JOB KNOWLEDGE/EXPERIENCE:

    • Three to five (3-5) years' experience is required
    • Excellent oral and written communication skills required
    • Must demonstrate an understanding of community health, welfare, and social agencies
    • Working knowledge of Medicare, Medicaid and third party payers preferred
    • Hospital or acute care setting experience is strongly preferred
    POSITION RESPONSIBILITES:
    • Provides evaluation, and, when indicated, intervention to patients, living donors and their caregivers within scope of license
    • Counsels patients and caregivers in need of a transplant
    • Counsels individuals interested in undergoing living donation
    • Evaluates and addresses barriers to potential recipients' ability to adhere to a complex medical regime
    • Responds to referrals from other health team members regarding patient and/or family issues
    • Completes evaluations as scheduled, and completes medical record documentation as soon as possible
    • Documentation within the medical record is clear, concise and addresses all issued completely
    • Participates in the development of the multi-disciplinary team
    • Provides training within, and outside the department on topics relevant to the services provided
    • Maintains personal competencies needed for licensure and attending internal and external educational offerings
    • Evaluations are completed timely and provide goal setting for the future year
    • Assess the psychosocial needs of the patient and family to develop, communicate, and implement an effective and comprehensive plan for psychosocial interventions and complex discharges
    • Functions as a resource to the care team regarding Social Worker's psychosocial patient assessment and plan of care development in a patient focused manner
    • Utilizes appropriate resources in cases that present ethical dilemmas
    • Will act resource regarding social systems, institutions, and behavioral and relationship patterns
    • Skillfully applies the appropriate interventions to meet the needs of the patient and family
    • Identifies, and develops care plans to ensure timely discharge, and avoid re-admission
    • Consistently demonstrates ability to exercise independent judgment and recognize strengths and abilities
    • Communicates the discharge plan to patients/patient representatives and pertinent healthcare team members
    • Performs Social work assessment of patient and support systems in order to facilitate the most appropriate and timely transition plan
    • Participates in health care team meetings and elicits recommendations from team members regarding how needs may be met
    • Makes appropriate referrals to community resources for social work and discharge planning
    • Implements and documents appropriate psychosocial/discharge planning services to meet patient/family/significant others' needs
    • Completes functions of social worker to meet needs for financial assistance, healthcare needs, and placement
    • Documents referrals to nursing homes, rehab, hospitals, and home care
    • Documents meetings with family, patient, multidisciplinary team, and/or doctor
    • Collaborates with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served
    • Manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or upon discharge
    • Participates in and documents multidisciplinary rounds on transplant inpatients
    • Serves as a resource to associates/physicians and case managers on issues relating to transplant or living donation social services and discharge planning
    • Assists in facilitating and implementing physician orders to aid in the timely completion of patient care along the continuum
    • Provide education and expertise to promote the practice and profession of social work within the hospital
    • In accordance with departmental policy, will be required to attend relevant training courses and staff developmental programs when these are made available and recommended by senior staff/training officers
    • Serve on specialty areas within the hospital that require a social worker for regulatory or grant funding requirements
    • Provides training within the department at least once per year on a topic that is applicable to the Services provided
    • Collaborates with Hospital Quality Department as needed
    • Performs quality assessment reviews and studies both concurrently and retrospectively as required by the hospital's PI plan, JCAHO standards, CMS, OPTN and third-party payer regulations
    • Refers all other potential quality of care issues identified, not reviewed, as part of the quality assessment screening to the physician advisor to facilitate timely follow up
    • Collects potentially avoidable day data for system performance improvement
    • Identifies and reports opportunities to improve care for patients, including patient complaints and any unusual patient care issues
    • Performs related duties as required and requested


    LINES OF REPSONSIBILITES:

    (Chain-of-command)

    1. Transplant Administrator 2. Chief Nursing Officer

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