Job Summary
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. The Licensed Master Social Worker systematically intervenes to provide clinical social work and complex discharge planning to patients and their families who have complex psychosocial needs, require assistance with eligibility determination for social programs and funding sources and qualify for community assistance from a variety of special funds and agencies. Under the supervision of a licensed clinical social worker, the role offers crisis intervention and/or mental health assessment to patients and families with psychosocial needs and coordinates and facilitates the development of a multidisciplinary discharge plan of care for high‑risk patient populations. The role participates in an interdisciplinary team (including physicians, case managers, staff nurses and other members of the care team) to provide services for individuals from at‑risk populations and ensures that psychosocial issues are attended to and treated as required across the continuum of care. The position typically reports to the Manager or Director, Case Management.
Minimum Qualifications
- Education: Graduate of an accredited Master of Social Work program (MSW).
- Licenses/Certifications: Current license as a Master Social Worker (LMSW) in the state of Texas required; ACM certification from American Case Management Association (ACMA) preferred.
- Experience / Knowledge / Skills:
- Field placement or internship in health services/health care provider experience.
- Acute inpatient hospital social work experience preferred.
- Effective oral and written communication skills.
- Working knowledge of DSM‑V and ICD‑10 manuals.
- Demonstrates knowledge and skill in social work assessment and treatment of patients for mental health status and substance abuse screening.
- Excellent therapeutic communication and negotiation skills in interactions with patients, families, physicians and health care team colleagues.
- Strong analytical skills.
- Working knowledge and/or experience in utilization management, managed care, and payer issues.
- Exposure and/or experience in pre‑acute and post‑acute care, as well as community resources.
- Ability to work independently and develop collaborative relations with physicians, families, patients, interdisciplinary team and other community agencies.
Principal Accountabilities
- Assesses patient’s and family’s psychosocial risk factors through evaluation of prior functioning levels, adequacy of support systems, reaction to illness and ability to cope.
- Develops and carries out a treatment plan using clinical social work diagnoses, assessments and treatment interventions as part of a multidisciplinary team.
- Intervenes with patients and families regarding emotional, social and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
- Provides short‑term individual, marital and family therapies, crisis intervention, and other services as supervised.
- Provides intervention in cases involving child abuse/neglect, domestic violence, guardianship, institutional abuse, foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
- Serves as a resource person and provides counseling and intervention related to treatment decisions and end‑of‑life issues.
- Advocates for patient and family empowerment and independence to make autonomous health‑care decisions and access needed services within the health‑care system.
- Participates in discharge planning activities for complex patients to ensure timely discharge and appropriate linkage with post‑discharge care providers.
- Deals with families exhibiting complex dynamics that impact patient care and discharge.
- Communicates with clinical care team members regarding discharge planning status of all referred patients.
- Provides consultation to case managers when coordination with significant or intensive community resources is necessary to achieve desired outcomes.
- Receives referrals for complex patient problem resolution from case managers or clinical team members.
- Works in collaboration with clinical and case management team members on transition planning and referrals to post‑acute care providers.
- Keeps team members up‑to‑date on the status of post‑acute provider acceptance and clearance for discharge.
- Validates discharge criteria for patient and families and notifies team members of newly identified resources or changes in previously identified resources.
- Educates patient/family and physician regarding post‑acute options and addresses issues of choice.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department‑based goals that contribute to the success of the organization; serves as a preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
- Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Together, we’re creating an environment where exceptional care can flourish. It starts with you.