Acute Social Worker - MSW

Job Overview

• We are hiring for a Pediatric Renal and Transplant Social Worker to support peritoneal and hemodialysis and pediatric dialysis patients in need of a kidney transplant.
• This is a .8 eligible benefit position with Mondays off and an every 8th weekend rotation.
• The Pediatric Social Worker works on-site with the interdisciplinary teams including providers, physical therapists, nurses, dieticians, chaplains and pharmacists to assist patients and families in navigating their health journey.
• The Pediatric Social Worker completes psychosocial assessments, care planning/ progression and creates comprehensive discharge plans from the hospital.
• The social worker is patient facing, responds to crisis situations, manages patient and family expectations, creates solutions to identified discharge barriers and aims to reduce length of stay and prevent avoidable hospital readmissions.

Responsibilities

Attends daily in person interdisciplinary care team rounds Conducts thorough psychosocial assessments with patients and/ or their surrogate decision makers Helps the care team navigate and mediate complex psychosocial dynamics Is well versed in the surrogate decision maker policy and assists care team members with identifying surrogate decision makers according to the policy Communicates frequently with the interdisciplinary team to ensure continuity and effective coordination of care Provides emotional support and counseling surrounding adjustment to sudden illness, grief/bereavement and end of life planning Addresses social determinants of health and assists with connecting patients to needed resources in the community such as chemical dependency treatment, domestic violence resources, housing stabilization services, mental health services, food shelves, transportation, financial assistance etc. Arranges and facilitates in person care conferences as needed to support patients and their families surrounding navigating complex medical decision-making processes/ goals of care Documents all interactions thoroughly and timely following established department standard work Serves as the expert in system adult and child protection reporting policies Collaborates with patients, families and interdisciplinary teams in developing an individualized discharge plan based on age, social and cultural considerations, clinical diagnoses, level of functioning and other relevant needs Participates in hospital initiatives and projects to reduce length of stay and related barriers which may include collaborating with providers for clinical adjustments in care