Social Worker - Lead

SUMMARY:

Interviews patients and relatives to obtain social history relevant to patient's medical problems and assess bereavement risk relative to anticipatory grief and family members needs post death. 

Assists patients with environmental difficulties that interfere with obtaining maximum benefits from medical care.  Serves as liaison between medical and nursing staffs, patients, relatives, and appropriate outside agencies.  Interprets and assists in resolving social problems that relate to medical condition and/or hospitalization.

ESSENTIAL FUNCTIONS :

Interviews patients and family members to obtain information about home environment, family relationships, health history, and patient’s personality traits.

Plans, organizes, directs and schedules spiritual programs and services that meet the needs of patients/families, hospital employees, and medical staff.

Consults with hospital staff regarding hospital ministry; collaborates with members of the hospital care team in identifying and resolving problems. 

Acts as a liaison between patient, family, and hospital staff during periods of crisis, e.g. illness, dying, lengthy or difficult surgery.

Assists in developing and implementing the patient’s care plan.

Interprets nature of illness and prescribed course of treatment to patients and families; communicates family issues to other staff members; participates in planning conferences.

Plans for needed care with nurse practitioner, physician, patient, and family. 

Introduces programs designed to meet the needs of the elderly after discharge and make appropriate referrals and arrangements for services.

Acts as liaison between medical/nursing staff, patients, families, and community, arranging for post-discharge care and patient’s transportation.

Maintains current, accurate documentation in the client’s medical record

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.

Provides supervision as required to social work staff

Works collaboratively and supports efforts of other team members.

Assists in monitoring staff performance, behaviors, and competency for performance reviews and reports information to manager

Assigns and coordinates patient flow to deliver safe and effective patient-centered care

Performs other specific department tasks as assigned by members of the department’s leadership team

Ensures that appropriate staffing levels meet patient care needs.

Performs related duties as assigned.

Bereavement Program:

Assists in developing and implementing the patient’s/family member care plan. Provides individual and group counseling, follows up on critical incident briefings to doctors, ER and support staff.   Provides home counseling if needed, follow up telephone calls and referrals if needed.  Develops education component for volunteer training and annual hospice foundation teleconference, prepares and implements all logistics for program needs.  Master’s Degree in Counseling, Social Services or related field and experience in individual and group counseling.

Medical Neighborhood / TC3:

Works with clients and multidisciplinary team to identify discrepancies and barriers to health, wellness and independence towards health equity.  Assesses and utilizes credible tool to evaluate social determinates of health and develop individualized plan of care for client/family to overcome identified barriers.  Prepares needs assessment and engages team to collaborate services and community resources. Measures identified barriers, records data and coordinates all efforts to improve health and wellbeing.  Improves understanding of access points for medical care resulting in decreased use of emergency resources, decreased hospital admission, re-admission and unnecessary expenditures.  Provides education regarding health promotion and disease prevention or exacerbation.  Acts as navigator and entry point for marginalized community members to essential life enhancing resources.  Works with clients experiencing behavioral health and or substance use/abuse, acting as liaison into BH/SU/SA treatment.  Behavioral health, substance abuse/treatment care setting strongly preferred.

MINIMUM QUALIFICATIONS

EDUCATION   Master’s degree in Social Work required, and licensure as LCSW or LMSW.

EXPERIENCE :   Two (2) years of social work experience in an acute care setting preferred.

One year of supervisory experience.

LICENSURE OR CERTIFICATION: HeartSaver First Aid/CPR or Basic Life Support (BLS) certification required per department. Valid AZ fingerprint clearance card may be required per department.