Social Worker- Wyss Wellness Center- Northeast PHL
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About the role
Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient. Job Description Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Conducts psychosocial assessment/reassignment of patients/significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs. Develops and implements a plan of intervention that addresses identified needs related to needs/problems identified during assessment. Collaborated with the multidisciplinary team to ensure appropriate discharge planning Provides counseling for patient/family/significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care Advocates on behalf of the patients/families to enable them to obtain necessary services.
Requirements
- Master's Degree Graduate from an accredited Masters of Social Work program required. Masters of Social Work required.
- 2 years hospital based social work experience.
- Knowledge of: Medical terminology and disease process; Community resources; Insurance regulations and requirements
- Skill in: Work with multidisciplinary teams, outside resources, patients/families/significant others
- Ability to: Establish an appropriate plan to safely discharge patients to the next level of care
- Serves as a resource and provides counseling and intervention related to treatment decisions and end of life care issues.
- Refers patient/significant other to community based services/resources to meet patient's continuum of care needs.
- Coordinates team and/or family conferences when necessary to facilitate patient's care progression.
- Facilitates completion of all placement related documentation in nursing home grants, applications, etc. Completes referrals to options programs where appropriate.
- Documents in accordance with hospital and departmental requirements.
- Works with Case Managers in providing discharge planning services per departmental policies and procedures in collaboration with the multidisciplinary team and patient/family.
- Identifies patients and locates family and/or next of kin.
- Educates patients/significant others on the process for obtaining health insurance. Provides appropriate documents/information to apply for welfare insurance.
- Supervises field placement of MSW students.
- When appropriate, refer case to the Placement Official Social Worker to assist in obtaining placement for the patient's discharge (Center City and Abington/Lansdale).
- Precept and mentor new staff members to their role and department.
- Facilitates and coordinates discharge plans for patient identified to leave on the weekend, including homecare/hospice services; transportation; post-acute facility placements
- Perform assessments and develops relevant interventions specifically for trauma patients (Abington)
- Obtains relevant post-acute authorizations
- Manages Livanta appeal determinations and if necessary address alternate discharge plans
- Provides updates to post-acute facility liaisons regarding possible weekend discharges
- Reviews discharge orders to determine which patients can be transitioned to the next level of care that day (JNE)
- Assist with completing relevant 302 paperwork, when necessary
- Documents updates for the week day staff per department procedures.
- preferred: LSW - Licensed Social Worker - State of Pennsylvania or
- Physical Demands
- Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
- Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection
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