Chicago, IL 60637 US
Psychosocial Assessment and Intervention:• Meets directly with patient/family to perform a comprehensive assessment including social, emotional, cultural, mental status, environmental and financial circumstances in conjunction with interdisciplinary assessment of the patient.• Recommends a plan of intervention based on patient needs, preference and mutually established goals.
• Provides psychosocial interventions which include:o Reactions to illness and disability, especially the chronically and terminally ill.o Facilitation of informed decision making (including advanced directives) and development of treatment/intervention plans.o Adjustment to the hospital setting and compliance with treatment plan.o Adjustment/coping with post-hospital care needs and linkage to community resources.o Issues related to insurance coverage and payment.o Psychiatric symptoms and chemical dependency.o Conflict resolution.o Family and personal relationships that impact the plan of care & discharge plans.
• Performs assessments of the physical environment and adequacy of support systems for outpatients to prevent a crisis and/or hospitalization.• Provides crisis intervention and/or Protective Services• Manages Discharge Planning through Placement Coordination, Resource Utilization, and Coordination of Skilled Home Health Care.• Actively participates in the stages of discharge planning and ensures that the plan of care is coordinated, facilitated and effectively communicated to the physician(s), healthcare team, patient and family.• Provide initial screening for all new patients to assure medical necessity, source of funding, and likelihood of needing Social Work and/or discharge planning services.• Serves as the point person for the plan of care as it applies to discharge planning needs through facilitation of direct and continuous communication and collaborative decision making, including participation in multidisciplinary rounds and case conferences and other collaborative forums.• Coordinates action plans when barriers are present to facilitate resolution.
• Coordinates discharge planning to ensure a timely discharge through early identification, assessment and intervention for post-hospital care needs.• Meets directly with patient and family to assess needs, preferences and develop appropriate plan that involves home health care services in collaboration with the physician.• Ensures/maintains plan consensus from patient/family, physician and payer. Timely discharge is facilitated through early identification, ongoing assessment and intervention for post-hospital care needs.• Collaborates and communicates with multidisciplinary team in all phases of discharge planning, ensures/maintains plan consensus from patient/family, physician, and payer as indicated.• Proactively identifies and resolves delays and obstacles to discharge. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues and system problems.• Seeks consultation from and makes referrals to appropriate disciplines/departments as required to expedite discharge plan.• Demonstrates knowledge of community resources and an ability to connect patients and families with these resources. Acts as an advocate on behalf of the patient who requires assistance to gain access to needed information, resources, or services.• Facilitates review of high risk cases by Office of General Counsel, Risk Management and informs appropriate members of the healthcare team as to interventions needed. Coordinates interventions in collaboration with healthcare team and ensures that interventions are successful.
• Provides patient and family education that promotes wellness and increases knowledge of the health care system.• Completes timely documentation of activities in the medical record and hospital wide information systems.• Demonstrates knowledge of the utilization management process which includes level of care assignment, communication with payors and benefit authorization for applicable situations.• Actively participates in Clinical Performance Improvement Activities.• Assists in the collection and reporting of financial indicators including LOS, avoidable days, resource utilization, and discharge barriers.
• Uses data to drive decisions and plan/implement performance improvement strategies for assigned patients/units, including financial, clinical, quality and patient satisfaction data.• Provides graduate level Social Work field supervision for students requiring a field placement.• Assumes responsibility for professional development and meeting social work CEU requirements by participating in workshops, conferences, and/or inservices.• Complies with policies on patient confidentiality including HIPAA requirements and Personal Rules of Conduct.EOE/AA.
Qualifications Required:• Masters Degree in Social Work from a school of Social Work accredited by CSWE.• Minimum of two years of post-graduate experience in hospital Social Work or related settings.• A high level of interpersonal skills to affect positive outcomes.• Organizational skills necessary to prioritize and manage an appropriate caseload of patients coupled with performing the Social Worker functions.• Self-direction required for daily work.• Analytical skills necessary to independently collect, analyze, and interpret data, resolve problems requiring innovative solutions and to negotiate in sensitive situations.• Licensure in Illinois. Licensed Clinical Social Worker (LCSW).• Experience with pediatric populations• Experience with Type 1 and Type 2 Diabetes populations (preferred)
Makes decisions within scope of position and authority as well as independent decisions regarding planning, organizing and scheduling work for self. Can also make decisions that have impact on the department. Utilizes many different systems from word processing and EPIC medical record system