Social Worker-MSW

eisenhower; United States; On-site; USD 77,000 - 117,000; Full time

Job summary

Eisenhower is seeking a Field-appropriate Social Worker (MSW) to coordinate complex discharge planning, provide psychosocial assessment, and support patients and families through transitions in care.

The role emphasizes collaboration with the inter-disciplinary team, adherence to regulations, and crisis intervention to ensure safe, patient-centered post-discharge outcomes.

Qualifications

• Master of Social Work (MSW) required.
• Experience in healthcare social work preferred.
• Strong knowledge of discharge planning and psychosocial assessment.

Responsibilities

• Complies with Code of Conduct and resolves compliance concerns.
• Completes psychosocial assessments using factual documentation.
• Conducts discharge planning needs assessment and develops a discharge plan with the care team.
• Communicates discharge options to patient/family and respects choices per regulations.
• Updates team on discharge status and revises plans as new information arises.
• Coordinates insurance approval for post-acute services and transportation.
• Ensures timely discharge planning within 24 hours and shares relevant information with post-discharge providers.

Skills

Crisis intervention

Psychosocial assessment

Discharge planning

Diversity communication

Problem solving

Regulations knowledge

Initiative & judgment

Team collaboration

Written communication

Self-motivation

Education

Master of Social Work (MSW)

Job description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$37.19 - $56.49

Schedule:

Full Time

Shift Hours:

10 Hour employee

Department:

Case Management Social Services

Job Objective:

Coordinates the complex discharge planning needs of patients and their families, as well as to provide supportive counseling, psychosocial assessment and interventions for patients with complex psychiatric, social, medical and financial needs.

Job Description:

Education:

Required: Master of Social Work (MSW)

Licensure/Certification:

N/A

Experience:

Preferred: Social work experience in healthcare setting

Reports To:

Manager or Director

Supervises:

N/A

Ages of Patients:

Pediatric, Adolescent, Adult, Geriatric

Blood Borne Pathogens:

Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to deal concretely and psychologically with a variety of crises, Ability to establish and carry out complex plans of care for key diagnoses, Ability to exercise a high degree of initiative, judgment and discretion, Ability to listen, interact and communicate with a wide variety of cultural backgrounds and socioeconomic classes, Ability to organize efforts around helping clients have a positive experience, Ability to work independently and as a team member, Critical thinking skills, Knowledge of regulations, standards and legislation (local, state and federal) related to the continuum of care and patient transition, Problem solving skills to identify issues and formulate effective solutions, Self-starter; driven to take action without needing prompting, Well-developed psychosocial assessment and intervention skills, Written and verbal communication skills

Essential Responsibilities

• 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• 2. Completes psychosocial assessment of patients according to professional standards; documents using facts only without attitude, judgment or opinions; includes all telephone calls made with person's name and phone number.
• 3. Conducts a discharge planning needs assessment and develops a discharge plan in conjunction with the Care Coordinator and the interdisciplinary team to meet desired goals for the next step in the continuum.
• 4. Communicates to patient/family, Care Coordinator and interdisciplinary team members the discharge options and plans for complex patients; communicates to patients their choices regarding discharge plans, and respects these choices as defined by federal, state and regulatory requirements.
• 5. Updates the Care Coordinator and team as to the status of the discharge plans; re-evaluates and revises the discharge plan as additional information is acquired and keeps patient/family and team informed to changes in the plan.
• 6. Works with Care Coordinator to obtain insurance approval for post acute services; maintains current knowledge and awareness of payer/reimbursement practices.
• 7. Coordinates the actual discharge plan, including transportation.
• 8. Coordinates utilization of patient and community resources to facilitate achievement of safe and effective discharge plan and accomplishment of goals.
• 9. Finalizes all discharge planning arrangements within 24 hours of discharge.
• 10. Ensures that any information that would be helpful, as appropriate, to facilitate continuity of care post-discharge, is communicated to post acute provider via discharge paperwork or via phone as per departmental documentation guidelines.
• 11. Follows up on discharge planning issues identified by nursing staff during off hours.
• 12. Develops strong relationships with community health resources to ensure appropriate patient access after discharge; completes timely referrals to post discharge providers, ensuring efficient patient flow and adherence to federal and regulatory requirements.
• 13. Screens patients, upon referral or according to high risk criteria for psychosocial needs; conducts psychosocial assessment when indicated to identify emotional, social and environmental issues impacting quality outcomes and efficient patient throughput.
• 14. Provides crises intervention, supportive counseling and advocacy to assist patients and/or family with adjustment associated with illness, hospitalization and/or alternative care placement; facilitates the decision making process in complex cases.
• 15. Communicates findings to Care Coordinator and other members of the interdisciplinary team and intervenes as appropriate in order to ensure a proactive approach to crisis intervention and efficient patient throughput.
• 16. Helps patients understand their rights in regards to patient choice, medical treatment, advanced directives and other related issues.
• 17. Helps patient/family understand, accept and follow medical recommendations within the context of self-determination.
• 18. Initiates appropriate referrals to the Ethics Committee, Physician Advisor, Risk Management or Legal Services, as appropriate.
• 19.