Social Worker

• As Mount Sinai grows, so does our legacy in high-quality health care.
• Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community.
• In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country.
• We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more.
• Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
• Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion.
• Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research.
• At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida.
• We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department: CC017410 Care Management

Job Description

Summary: Position Responsibilities Based on referral from Case Manager completes comprehensive psychosocial assessments to evaluate the patient / family to identify ability to meet patient care needs. Serves as a resources to hospital staff and physicians regarding emotional, social, and psychosocial components of patient illness. Ensures integration of the interdisciplinary team in understanding and integrating these aspects into the plan of care. Provides crisis intervention ,supportive counseling and initiates referrals to appropriate resources to ensure patient /family psychosocial and emotional needs are addressed. Maintains current knowledge and researches availability of community agencies and community resources for social, emotional or financial assistance. Maintains collaborative relationship with post-acute providers and community services. In collaboration with the Case Manager, provides information, education to patient/family on community resources and options for post-acute care appropriate to the age of the patient served. Initiates referrals to community agencies as needed. As patient is transferred, communicates pertinent information to next Social Worker and Case Manager to transition the patient to the next level of care. Facilitates discharge arrangements in collaboration with patient/family and the healthcare team ensuring arrangements meet patient continuing care needs. Ensures services are arranged and communicated. As needed, follow up to ensure services provided as arranged. Understands placement intricacies and can interpret requirements from state, local, and federal agencies to optimize placement of patients in the most appropriate setting Aligns needs of patient with appropriate placement options. Identifies and records clinical, psychosocial and financial barriers to a smooth transition across the healthcare continuum and assists in identifying and facilitating system improvements. Utilizes communication, negotiation ,and advocacy skills with patient/family, staff, healthcare team, and community resources. Participates in weekend rotation and takes calls as scheduled. Promptly responds to requests for consultative services to patients after normal working hours . Serves as a consultant for processing issues such as guardianship, abuse /neglect, power of attorney, healthcare surrogate, advance directives, psychiatric involuntary admission, Baker Act. Initiates/completes forms required for post-acute placement. Documents activities with entries that are consistent with entries that are consistent with meeting department/hospital requirements, licensure and regulatory guidelines. Support interdisciplinary team conferences and contribute to the planning and review of care for patients presented as needed. Participates in quality improvement activities to effect optimal outcomes for the patient and MSMC/MHI. Utilizes data, trends and reports to proactively identify opportunities to improve processes and promote leading practice. Qualifications License/Registration/Certification N/A Education Master's Degree in Social Work required. Experience One year of experience preferred.