- Completes thorough biopsychosocial evaluation on all recipient and donor candidates. These assessments are conducted, consistent with CMS guidelines, for patient population involved with Advanced Heart Failure (AHF) program, in order to achieve maximum adjustment and functioning relevant to Transplant/ LVAD.
- Provides ongoing assessment, counseling, crisis intervention and education to support patients and their caregivers.
- Participates in the development of a discharge plan in collaboration with the multidisciplinary team to expedite patient transition to the next level of care.
- Participates in identifying financial barriers which may impede both Transplant and post-Transplant outcomes. Complete interventions to include: financial counseling, resource management and referrals to appropriate services to best meet the needs of the patient and the health care system.
- Assesses patient and caregiver level of understanding regarding diagnosis and treatment. Determines ability to comply with medical recommendations. Provides recommendations/intervention to maximize compliance as needed.
- Educates patients and caregivers regarding health care delivery systems including resources and limitations; places referrals as appropriate to achieve and maintain the goal of transplant.
- Participates and collaborate in ongoing Quality Improvement Activities to include monthly QAPI meetings as well as in the development and implementation of all performance improvement initiatives.
- Participate in community, disease specific activities as needed.
- Initiates appropriate internal and external referrals specific to individual patient needs.
- Provides clinical input to interdisciplinary team regarding treatment plan and listing of patient for transplant/LVAD.
- Maintains and advances personal professional development consistent with the needs of the Advanced Heart Failure program via internal and external sources.
- Conducts self in professional manner, upholding agency policies and standards as well as adhering to the Social Work Code of Ethics.
- Establishes and maintains a collaborative relationship with internal and external health professionals to assist transplant patient's adjustment.
- Supports the delivery of quality care and service to achieve clinical results as well as patient/customer satisfaction.
- Documents in accordance with departmental reporting standards.
- Establishes positive work relationships and works to reduce work place conflict. Embraces change in rapidly changing health care environment.
- Must have knowledge of adjustment to medical diagnoses and chronic disease.
- Strong communication skills are needed to interact with patients, patients' family members, consultants, residents, hospital personnel, community agencies, and other resources.
- Candidates must have knowledge of mental illness, personality development and proficiency in appropriate types of treatment.
- Demonstrates competence related to age and developmentally appropriate care.
- Possesses knowledge and awareness of payer and reimbursement practices impacting the plan of care as well as federal, state and local resources.
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Clinical Social Worker-Transplant - Winston Salem, United States - Atrium Health
Description
Overview
JOB SUMMARY:
Provides initial contact, assessment and ongoing treatment for transplant and LVAD population in the Advanced Heart Failure program. Works with a health team consisting of transplant surgeons, cardiologists, transplant coordinators, physician assistants, nurse practitioners, Pharmacists and business coordinator.
EDUCATION/EXPERIENCE:
Masters Degrees in Social Work from a school accredited by the Council on Social Work Education. Minimum of 3 years with relevant population.
LICENSES/CERTIFICATIONS:
Minimum: LCSW-A or 15 years in relevant field. Preferred: LCSW, Certified Clinical Transplant Social Worker (CCTSW)
ESSENTIAL FUNCTIONS:
SKILLS AND QUALIFICATIONS:
WORK ENVIRONMENT:
Possible exposure to infectious and contagious diseases
Exposure to sights and smells associated with medical treatments in progress
Moderate noise environment
High stress levels at times
Subject to many interruptions
Subject to irregular hours
