Medical Social Worker, Social Services - Gardner, United States - Heywood Hospital

Heywood Hospital

Verified Company

Gardner, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Overview:

You Matter Here
Heywood Healthcare values our employees We offer competitive wages, great benefits and generous earned time off. Come work where you will matter

Hours:
Per Diem, Days

Job Summary
Reports directly to the Director of Social Service. Medical Social Worker assignment includes primary responsibility for coverage of Acute Care Cases, Outpatient, and Behavioral Health areas.

Responsible for provision of social work intervention for cases assigned; customizes care plans based on individual patient care need timely and efficiently.

Social Work focuses on the social determinants of health that may be an issue; assist with dc planning activity as indicated; care plans based on individual patient care need timely and efficiently.

Responsible for information and referral services; provides counseling, supportive services and post discharge follow up as indicated.

Works with patient and families navigating through the healthcare system promoting advocacy and education; included but not limited to data collection, statistics on caseload activity and reporting weekly and monthly reports to the director timely and efficiently; support groups, outpatient inquiries etc and other duties as assigned by the Director.

Responsibilities:

Essential Functions

Reports directly to the Director of Social Service and Indirectly reports to Unit Manager and Practice Leader. Works collaboratively with unit team and responds timely, efficiently and respectfully
Keeps department director abreast of any issues, trends identified and/or needs weekly and/or more frequently if needed
Demonstrates professionalism and teamwork. Covers for coworkers during planned and unplanned absences and as requested by director.
Provides service to community at large through the provision of service to Walk-In and telephone inquires as assigned by Director and/or designee as needed
Completes the Assessment fully, clearly, concisely, and within 48 working hours of being assigned the case
Completes clear and concise documentation noting patient and family participation, multidisciplinary involvement, and other planning information as required by the department, as well as, state and federal regulation agencies
Communication: builds rapport and responds to needs of physician, healthcare team members, 3rd party payers, referral sources and vendors to enhance internal and external customer service satisfaction
Conducts High Risk Screening on all patients on assigned units for potential needs as per policy
Assists with discharge planning process assuring services/ placement is appropriate in the continuum of care with PASARR, OBRA, Level of Care form completion etc and are completed timely and efficiently as per regulatory standards
Informs patients of their patient rights when indicated (i.e. discharge planning, URCO ,and appeal process, guardianship, court commitments, admission/hospitalizationstatus, Power of Attorney and Conservatorship; Advanced Directives/Healthcare Proxy, Interpreter Services etc
Provides information and education to patients and their families regarding the care plan as part of their specific care needs and works closely with members of the multidisciplinary team including, physicians, patients, families, hospital staff and community agencies
Casework statistics are completed and submitted to department secretary within 5 days post discharge
Conducts post discharge follow up on High Risk patients in an attempt to reduce rehospitalization
Completes discharge planning assessments timely, efficiently and completely following regulatory standards and departmental policies assuring appropriate patient flow. Appropriately levels patient for home discharge with or without services or to another type of facility such as a SNF, Acute Rehab etc. Develops coordinates and implements discharge plan on cases assigned with patient and/or family/so caregiver. Identifying patient preference and selection choice for HHA/SNF placements having patient preference form checked off and signed/dates by patient and/or so. When plan is in place, notify provider establish and determine anticipated readiness for discharge, keeping patient/family/so informed and documenting such in the EMR. Closes case out using appropriate forms for transition of care communication timely and efficiently.

Collaborates with the team to assist the Multidisciplinary Team in providing discharge planning activities to assist in expediting a patient's discharge as part of the care transitions process.

It is the expectation that the Social Worker remains current and proficient in the discharge planning process

Participates in discharge planning rounds daily. Works collaboratively with multidisciplinary team to determine each patient's needs concurrently including postacute care when needed; addresses LOS issues, addresses potential needs, resources, referrals for other disciplines and services. In a positive