Social Worker MSW
4 weeks ago
The Social Worker MSW is a key member of the patient care team, utilizing advanced psychosocial skills to facilitate the coordination of patient care through assessment, planning, intervention, and evaluation. This role requires a strong understanding of hospital and community resources, as well as the ability to effectively communicate with patients, families, physicians, and payers.
The Social Worker MSW is responsible for coordinating referrals for post-acute services, communicating with patients and caregivers regarding payer or financial issues, and documenting complex discharge plans. This role also involves collaborating with patients, families, and healthcare teams to determine desired discharge goals and communicate all discharge plans and options.
PRIMARY ACCOUNTABILITIES
Assist with coordination of referrals for post-acute services as appropriate in a timely manner.
Effectively communicate with the patient/caregiver and physician on payer or other financial issues.
Coordinate and document complex discharge plans.
Collaboratively determine desired discharge goals and communicate all discharge plans and options to patient/family, physicians, and staff.
Participate in patient care conferences/ethics consults as indicated.
Provide counseling and research placement alternatives for substance abuse, mental health, homeless, and indigent patients.
Facilitate and participate in transfer of Baker Act and Marchman placements to mental health facilities. Provide therapeutic interventions with patients and families as needed.
Complete mandatory reporting processes.
Facilitate referrals for post-discharge psychosocial, therapeutic, and any other needs as assigned.
Identify system/process breakdowns and improvement opportunities.
Communicate avoidable delays utilizing the escalation process to remove barriers to progression of care.
Ensure compliance with regulatory standards, identifying risk management quality issues and reporting as required.
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