Healthcare Outreach Specialist
4 weeks ago
As a Healthcare Outreach Caseworker at Virtua, you will play a vital role in assessing, diagnosing, and planning for social work services related to patient and family bio-psychosocial needs and behaviors. You will integrate assessment using information related to cultural, clinical, ethnic, age, and other factors into a plan of care to implement transition plans and treatments.
You will act as an active team member in the care management of patients with behavioral health, palliative care, and social determinants of health needs. You will coordinate the transition through the care continuum to achieve the desired outcome, referring patients/families and caregivers to appropriate resources regarding abuse/neglect/domestic violence, alcohol, and substance use disorder.
You will perform appropriate clinical interventions related to grief counseling, bereavement, and adjustment, crisis intervention to support care coordination and increase patient/family coping skills. You will be responsible for the psychosocial assessment, planning, implementation, monitoring, and support of patients through the continuum of care, utilizing appropriate resources to maintain compliance and achieve cost-effective and positive patient outcomes.
You will utilize independent critical thinking and collaborate with a multidisciplinary team to address patient discharge needs and transition into a post-acute setting when applicable.
Position Responsibilities:
You will use culturally competent skills to assess individual patient needs and refer to appropriate professional staff when necessary. You will coordinate appropriate care through psychosocial assessment, multidisciplinary rounds, and patient advocacy.
You will provide clinical social work consultation, ongoing case discussion and evaluation, patient advocacy, clinical goals, and treatment plans for the purpose of providing individual, group, and family psychotherapeutic counseling.
You will coordinate a broad spectrum of social and planning needs. If applicable, you will participate and develop inpatient and community programs that benefit patients, families, and staff. You will implement support groups for specified disease processes or biopsychosocial issues to assist community outreach and development.
You will maintain appropriate and complete documentation of interventions, including assessments, plans, and referrals. You will follow up on all referrals from the provider for behavioral health, substance use disorder treatment, end-of-life supportive care, and other biopsychosocial needs.
You will make appropriate referrals with respect to patient, family, and transitional needs. You will provide education on available resources and strategies for utilizing or gaining access to resources.
You will coordinate appropriate care through psychosocial assessment, multidisciplinary rounds, and patient advocacy. You will provide clinical social work consultation to physicians, professional staff, and other team members/supervisors to provide optimal quality patient care and effective operations.
You will be knowledgeable of public and private welfare and health agencies available to serve the community. You will act as a liaison with community health and social service agencies. You will also possess knowledge of State and Federal hospital compliance, identifying and reporting compliance issues as appropriate.
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