Social Worker MSW

We are seeking a highly skilled and compassionate Social Worker MSW to join our team at Cape Cod Healthcare. As a key member of our healthcare team, you will provide discharge planning and counseling services to patients and their families, recognizing age-specific differences in assessing their needs.

• Provide discharge planning and counseling services to patients and their families, recognizing age-specific differences in assessing their needs.
• Screen all admissions to the hospital to determine whether discharge planning services may be needed.
• Assess and refer outpatients when required.
• Provide therapeutic short-term counseling to patients and families.
• Coordinate discharge planning with patients, families, physicians, staff, and community agencies and facilities, recognizing each patient's requirements relative to their age-specific needs.
• Determine the type and amount of home care services required by patients and arrange for their care.
• Determine the level of care for patients who need nursing home care.
• Communicate diagnoses and activities of daily living status to nursing home staff.
• Coordinate and document weekly multi-disciplinary rounds to ensure that patients' in-hospital continuing care needs are met.
• Provide mental health and substance abuse assessments of hospital patients, recognizing each patient's requirements relative to their age-specific needs.
• Work with psychiatrists in assessing and treating psychiatric patients, making referrals for inpatient psychiatric care and/or outpatient mental health treatment.
• Assist in the coordination of child abuse and elder abuse procedures.
• Assist physicians and hospital staff with their mandated reporting obligations.
• Arrange foster care or adoptions for newborns of maternity patients who choose this option.
• Coordinate and lead patient-focused conferences with physicians, nurses, and other staff when needed.
• Provide social work support and education for patients and families through special projects such as Cardiac Rehab or cardio-pulmonary rehab.
• Provide crisis intervention during covered hours.
• Assist patients and families in filing Medicaid applications with the Department of Public Welfare, informing patients of Medicaid eligibility regulations.
• Deliver and explain to patients and families the Medicare termination of eligibility letter.
• Coordinate the flow of information, including the preparation of the Patient Care Referral Form, between the hospital and other facilities and agencies, utilizing discretion regarding the appropriate protection and/or use of confidential information.
• Prepare and obtain patient or family signature on the written discharge plan provided to all who receive aftercare services, as required by the DPH.
• Telephone follow-up of selected discharge patients, as required by the DPH.
• Maintain social history and current progress notes in patient medical records, completing correspondence as necessary to expedite appropriate service and referral.
• Function as a liaison and maintain strong working relationships with community agencies, including extended care facilities, mental health, and home care agencies.
• Serve on the Psychiatric Patient Care Committee and attend other hospital and community meetings.
• Provide training and supervision, as appropriate, for social work students as part of their field instruction.
• Participate in the development of in-service programs for hospital personnel addressing the psychosocial needs of patients and families.
• Prepare and submit monthly statistical and quality assurance reports.
• Assist in fulfilling audits and other federal, state, and JCAHO requirements.
• Assist in ensuring the utilization of acute hospital beds.
• Participate in appropriate conferences, workshops, and courses to enhance and stimulate professional awareness of innovative medical social work programs and services.
• Wear facility-provided identification badges at all times.
• Perform other duties as assigned.

• Master's Degree in Social Work
• Licensed in MA
• Over three months up to and including one year of social work experience
• Completion of an approved de-escalation Certification Course within 90 days from hire (course offered within)