Social Worker, (Per Diem), Outpatient

Responsibilities

• Determine patient and family needs related to social supports, financial support or counseling, housing appropriateness, transportation and psychological supports.
• Cookordination multidisciplinary and agency case conferences; work with care managers to advocate for patient/family to obtain approval for insurance coverage; coordinate admission for all patients in need of dialysis.
• Intervene in crisis and attend to needs of patient/family related to illness, disability, deterioration of independence, etc.
• Manage referrals related to patients at risk and determine appropriate intervention strategies and document as implemented; ensure inappropriate referrals are channeled correctly and documented.
• Coordinate assessments and develop care plan in accordance with accepted social work policy.
• Implement plan of intervention preparatory to discharge or initiate continued care plan.

Requirements

• Manages referrals related to patients with psychosocial needs and determines appropriate interventions and strategies to meet those needs.
• Reviews track board census or documentation to identify high risk patients not referred.
• Determines patient needs through interdisciplinary rounds, chart review, patient/family interviews and team conferences.
• Documents social work intervention.
• Determines patient needs through interdisciplinary rounds, chart review, patient/family interviews and team conferences.
• Interviews patients and/or families and records psychosocial assessments in accordance with the social work documentation policy as documented in chart.
• Coordinates assessments and develops care plans in accordance with accepted social work policy as documented in chart.
• If indicated, evaluates patients for the appropriate level of care as documented in chart, office file, and by referrals.
• Cookordination multidisciplinary and agency case conferences as needed, as verified through chart notes indicating attendance, problems discussed and treatment plan.
• Implements plan of intervention preparatory to discharge or initiating continued care plan in compliance with departmental and governmental regulations.
• Works with care manager, acts as intermediary, with Health Care Insurance providers (ex. HMO’s, private insurance, Medicare), advocating for patient/family, to obtain approval for coverage as documented in the chart.
• Involves patient/family in the treatment planning process as demonstrated in the chart notes, and signatures on the appropriate forms.
• Executes plan of discharge/continued care which is mutually agreeable to patient/family.
• Notifies involved parties (ex., doctor, family, patient, facility) concerning the discharge, within 24 hours of receipt of discharge authorization as documented in chart.
• Requests needed paperwork from nursing/doctor other disciplines as documented in the chart.
• Arranges for transportation of patient where needed in accordance with hospital procedure, as documented in the chart.
• Acts as liaison with the community and as a referral source.

Qualifications

• Bachelor's Degree in Social Work (Required)
• Licensed Master Social Worker - New York State Education Department (NYSED) (Preferred)