Description
Summary: The Social Worker will be responsible for the support/intervention of patients and families with psychosocial needs and coordinates the development of a discharge plan of care for complex patient populations. The position will assist patients and families in adjusting to episodes of acute and chronic illness; cope with lifestyle changes precipitated by illness or disability; participate in restorative health programs; carry out discharge recommendations; and in addressing issues of end of life care.
Job Responsibilities:
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Provides psychosocial/resource management expertise to the Nurse Case Manager and care team on complex cases.
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Collaborates with interdisciplinary team, community agencies and the healthcare team for problem resolution with patient and family communication.
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Facilitates legal, advocacy and ethical issues related to domestic violence, abuse, and medical care planning.
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Performs psychosocial assessments, and 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.
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Conducts support groups, crisis management and interventions on matters related to adjustment to illness, treatment decisions, end of life issues and grief or loss.
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Participates in discharge planning activities for complex patients to ensure a timely discharge and to provide linkage with post-discharge care.
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Initiates/facilitates referrals for complex post-discharge needs, i.e., facility placement; home health with multiple needs; complex equipment needs; medication assistance programs; homeless; uninsured/underinsured; domestic violence shelter; mental health/substance abuse programs; adoption agency placements; child protection agency placements.
Job Requirements:
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Master Social Worker (MSW) or equivalent experience.
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Minimum of one to three (1-3) years’ experience in Social Work or similar field of practice.
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Current NYS license in Social Work or eligible for limited permit. If limited permit, must obtain license within 12 months of hire
Company: Vassar Brothers Medical Center
Org Unit: 1190
Department: Care Coordination
Exempt: Yes
Salary Range: $31.25 - $58.05 Hourly