MSW Social Worker-1

Montgomery College; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

Vanderbilt Health in Tennessee seeks a Social Worker to evaluate psychosocial needs and coordinate discharge planning for identified patient populations. The role acts as a liaison between the facility and community resources to ensure timely transitions and post-acute follow-up.

You will provide crisis intervention, document recommendations, and collaborate with the interdisciplinary team to address psychosocial and discharge needs while promoting high-quality care and patient advocacy across

Qualifications

• Certifications: LIC-Licensed Master Social Worker - Tennessee
• Work Experience: 1 year minimum in relevant setting
• Education: Master's degree in Social Work

Responsibilities

• Performs a comprehensive assessment of psychosocial needs of assigned patients
• Assesses discharge needs and coordinates services
• Develops individualized discharge plans with education for accessing care
• Provides crisis intervention and psychosocial support to patients and families
• Maintains effective communication with physicians, patients, families, and external agencies
• Identifies barriers to care and facilitates patient throughput

Skills

Crisis Intervention

Patient Evaluation

Patient Assessment

Clinical Counseling

Education

Master's

Job description

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: VCH Case Management Job Summary: The Social Worker will evaluate the psychosocial needs of patients and family support systems and will coordinate appropriate discharge plans for identified patient populations. The Social Worker acts as a liaison between the facility and resources external to the organization. He/she will facilitate implementing timely discharge plans and facilitate follow-up to anticipated post-acute interventions identified in the plan of care. The Social Worker will provide crisis intervention and support. The Social Worker will assist the Resource Manager in facilitating patient movement across the continuum of care and will identify and track barriers to patient throughput.

Key Responsibilities

• Performs a comprehensive assessment of psychosocial needs of assigned patients
• Assesses patients discharge needs and facilitates the provision of services necessary to meet identified needs
• Evaluates suspected abuse and neglect referrals and makes official reports
• Develops an individual plan of care for recurring patients to include education related to accessing healthcare services at the appropriate level of care
• Provides education to the under-resources patient/family of potential and available resources
• In collaboration with the interdisciplinary team, develops, implements, evaluates, revises as needed, a discharge plan to include identifies psychosocial an discharge needs
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the health care team
• Participates with the interdisciplinary team to ensure psychosocial and discharge needs are addressed
• Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives
• Makes appropriate referrals, after collaboration with the Case Manager, to third party payer disease and case management programs for recurring patients and patients with chronic disease states
• Facilitates patient throughput with an ongoing focus on quality outcomes and an efficient transition between levels of care
• Tracks and trends barriers to care, makes recommendations and develops action plans to improve processes and systems
• Provides psychosocial support to patients and families through crises intervention
• Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered
• Acts as an advocate for identified needs and makes appropriate referrals
• Acts as a liaison between the facility and community resources to enhance community outreach coordination
• Tracks and trends variances barriers related to access to care
• Adheres to established policy and procedure and standard of care

Technical Capabilities

• Risk Management (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate risk management of moderate difficulty.
• Capable of conducting risk analysis as part of a task to address problems including determining risk factors, probability, impact, early detection and prevention.
• Able to prepare simple contingency plans and alternatives.
• Crisis Intervention (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate crisis intervention in practical applications of moderate difficulty.
• Patient Evaluation (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate the ability to conduct a patient evaluation in practical applications of moderate difficulty. Capable of effectively assessing the relative merits of alternative products or services.
• Patient Assessment (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate patient assessments in practical applications of moderate difficulty.
• Clinical Counseling (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate clinical counseling in practical applications of moderate difficulty.

Core Accountabilities

• Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
• Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
• Team Interaction: Provides informal guidance and support to team members.

Core Capabilities : Supporting Colleagues

• Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.
• Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
• Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.

Delivering Excellent Services

• Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
• Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
• Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.

Ensuring High Quality

• Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
• Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
• Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.

Managing Resources Effectively

• Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
• Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
• Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.

Fostering Innovation

• Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
• Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
• Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Position Qualifications

Responsibilities: Certifications: LIC-Licensed Master Social Worker - Tennessee

Work Experience: Relevant Work Experience Experience Level : 1 year

Education: Master's

Benefits

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Equal Opportunity Statement

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled. PEOPLE ARE AT THE HEART OF ALL WE DO. Great health care takes great people.

Company Culture

We’re looking for like-minded individuals driven to make a difference. We invite you to explore careers at Vanderbilt Health, where we value collaboration, embrace continuous learning and foster an environment where everyone can thrive. We’re the largest private employer in Middle Tennessee, with a growing team and an expanding footprint across towns and communities throughout the region. We employ more than 43,000 people who work in inpatient and outpatient clinical care, research and graduate medical education. Our employees also serve in critical supporting roles in administration, information technology and informatics, finance, legal and community affairs, communications and marketing, fundraising, groundskeeping and facilities, and many other departments.

Hospital Information

Our growing academic health system has more than 2,100 licensed hospital beds at eight hospitals: Vanderbilt University Hospital Monroe Carell Jr. Children’s Hospital at Vanderbilt Vanderbilt Psychiatric Hospital Vanderbilt Stallworth Rehabilitation Hospital Vanderbilt Bedford Hospital Vanderbilt Clarksville Hospital Vanderbilt Tullahoma-Harton Hospital Vanderbilt Wilson County Hospital

Specialty and Service Highlights

Vanderbilt Health is the Mid-South's largest provider of specialty care, with hundreds of outpatient clinic and surgical locations throughout the region, and Tennessee’s only National Cancer Institute-designated Comprehensive Cancer Center for adults and children. We are one of the nation's busiest critical care centers, home to Middle Tennessee’s only Level 1 Trauma Center and Burn Center for adults and children, and Middle Tennessee’s only Level IV Neonatal Intensive Care Unit. We are the nation’s largest transplant center, and last year we performed the most heart transplants than any center worldwide. Vanderbilt Health is an epicenter for biomedical research, winning over $1 billion in annual research awards from government, industry, foundations and donors. We are also a national leader in medical training and education, with the largest clinical training center in the Mid-South and the only training center in Tennessee for many adult and pediatric specialties. We’re honored to be consistently considered among the nation’s best hospitals for quality, safety and patient satisfaction. Three of our hospitals — Vanderbilt University Hospital, Vanderbilt Psychiatric Hospital and Vanderbilt Wilson County Hospital — have been awarded a Five-Star Quality Rating from Medicare.

Benefits & Compensation

High-achieving employees stay at Vanderbilt Health for professional growth opportunities, competitive compensation and benefits, and a sense of community and purpose.

Vision & Mission

Our vision: The world leader in advancing personalized health

Our mission: Personalizing the patient experience through our caring spirit and distinctive capabilities