Clinical Social Worker

1 day ago

Houston, Texas, United States Memorial Hermann Health System Full time
Job Summary

The Licensed Master Social Worker plays a critical role in providing clinical social work and complex discharge planning to patients and their families who require assistance with eligibility determination for social programs and funding sources.

Under the supervision of a licensed clinical social worker, this role offers crisis intervention and/or mental health assessment to patients and families with psychosocial needs and coordinates and facilitates the development of a multidisciplinary discharge plan of care for high-risk patient populations.

This position participates in an interdisciplinary team to provide services for individuals from at-risk populations and ensures that psychosocial issues are attended to and treated as required across the continuum of care.

Key Responsibilities
  • Assesses patient's and family's psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
  • Develops and carries out a treatment plan by the use of a clinical social work diagnosis, assessment, and treatment interventions.
  • Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
  • Provides intervention in cases involving child abuse/neglect, domestic violence, guardianship (temporary/ permanent), institutional abuse, foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection, and sexual assault.
  • Serves as a resource person and provides counseling and intervention related to treatment decisions and end-of-life issues.
  • Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
  • Participates in discharge planning activities for complex patients, in order to ensure a timely discharge and to provide appropriate linkage with post-discharge care providers.
  • Communicates with clinical care team members regarding the discharge planning status of all patients referred by them.
  • Provides consultation to Case Managers when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes.
  • Receives referrals for complex patient problem resolution from Case Managers or clinical care team members.
  • Works in collaboration with the clinical and case management team members on transition planning and referrals to post-acute care providers.
  • Keeps clinical and case management team members up-to-date on the status of the post-acute provider acceptance and clearance for discharge.
  • Validates discharge criteria for patient and families and notifies clinical and case management team members of newly-identified resources or change in previously-identified resources.
  • Educates patient/family and physician regarding post-acute options and addresses issues of choice.
  • Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.

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