Clinical Social Worker II, Transitional Care, $15,000 Sign-on - Baltimore, MD, United States - University of Maryland Medical System
Description
THE MEDICAL HEART OF MARYLAND
Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health care system and community.
We're known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible.
The R Adams Cowley Shock Trauma Center, the world's first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate.
From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland's Children's Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.
The mission of the Transitional Care Coordination Program is to ensure intensive, coordinated, outpatient care for patients with complex chronic health problems that leave them medically vulnerable.
to improve health and well-being through coordinated medical services with emphasis on the social determinants that affect health such as housing, food and transportation.
We do this by providing coordination and support for complex, vulnerable patients whose chronic health conditions and psychosocial challenges place them at high risk for repeated hospital admission or frequent returns to the emergency room.
We provide comprehensive post hospital care coordination via telephone outreach, community visits and in-home visits as needed to ensure patient is supported in their health care needs/goals after they return to the community.
Appropriate and affordable medical care (FQHC, immigrant services, primary & secondary care, utilizing our high risk model bridge clinic (the Coordinated Care Center) for those who are medically complex and require services that are of a higher intensity, longer duration or higher frequency visits than can be met in the community)Social programs (food resources, supplemental income)
Services to access care (ID, insurance)
Transportation (mobility, medical assistance transportation, bus services)
Housing (shelters, affordable housing resources, assisted living)
Mental health services
nIndependently practices social work and receives limited consultation , functioning as a member of the multidisciplinary healthcare team to provide case management, therapeutic crisis intervention, biopsychosocial assessment, clinical evaluation, therapy, counseling, referral, treatment planning, and other clinical social work services within their practice area.
Offers psychosocial guidance, with their advanced ability, to help settings enhance their clinical practice. Drives conversations about Advance Care Planning to healthcare team.# Provides advanced ongoing and crisis care to facilitate a therapeutic and safe environment for patients. Serves as a professional resource to other members of care team.
# Suggests/initiates PI projects to evaluate program and outcome effectiveness.
# Demonstrates advanced knowledge and skillsets necessary to provide care appropriate to the age, culture, ethnicity, spirituality, and individual diagnostic needs of the persons served.
# Demonstrates advanced knowledge of relevant resources to share with team members & initiates networking based on program gaps. Empowers patients and the practice area with problem-solving and decision-making around personal, health, social, educational, vocational, financial and other interpersonal concerns within context of discharge planning, clinic visit, or on-going behavioral health assistance.
# Provides consultation and assistance with challenging cases to other social workers.
# Conducts clinical reviews of assessments, planning, interventions, and overall plan of care to provide peer feedback.
# Participates in conversations about unit practice & provides recommendations for improvement.
# Master's degree in Social Work accredited by Council on Social Work Education (CSWE).
# LCSW- C (Licensed Certified Social Worker-Clinical) licensure from the Maryland Board of Social Work Examiners.
# Demonstrates skill in a) clinical social work and/or case management practice areas; b) completing clinical social work functions such as clinical assessment, treatment planning, clinical intervention, case management, psychoeducation, referral, psychotherapy, counseling, diagnosis of mental health disorders, advocacy; and e) age appropriate interpersonal interactions (patients may range from newborn to geriatric adult).
# Ability to a) communicate and collaborate effectively with both internal and external stakeholders (i.e. colleagues, medical staff, liaisons, patient, family); c) make independent decisions consistent with current policies, procedures, and ethical standards; e) assist in data analysis, f) demonstrate innovative thinking, integrity, and accountability; All your information will be kept confidential according to EEO guidelines.