Summary
Responsible for the delivery of social work services inclusive of all patient populations across the continuum of care for MyMichigan Health System. Services will be in collaboration with other members of the healthcare team. The social worker is responsible for assessing the patient's psycho-social-spiritual needs, educating and counseling, along with planning, coordinating and implementing care across the continuum while contributing to patient outcomes and length of stay. Communicates teamwork, caring, and compassion with all internal and external healthcare team members.
Responsibilities
- (25%)
- Complete and document a standard social work psycho-social-spiritual assessment to: Eliminate barriers to treatment Increase patient/family satisfaction Improve appropriate utilization of resources (25%)
- Provide social work intervention as it relates to hospitalization including crisis management, health care decision-making, illness adjustment, ethical/legal concerns, discharge planning and transitional care needs, child or elder abuse, domestic violence, competency, financial problems, compliance issues, as well as other psychosocial barriers to maximizing health status. (25%)
- Actively participate in care coordination efforts to successfully identify high-risk factors and respond appropriately so that key information, next steps and avoidable days are captured and documented. Is able to co-lead, with case manager partner, daily care coordination meetings. (25%)
- Work with the healthcare team, patient, family and/or significant others to continually transition the patient to the appropriate level/place of care. Advocate, mediate and negotiate, with an emphasis on self-determination for the patient system, to formulate a cohesive plan for maintaining the patient's health status, improving social supports, and moving the patient safely into less restrictive, less costly levels of care according to available resources. OTHER DUTIES AND RESPONSIBILITIES: Facilitate extended care placements and other facility transfers in coordination with the healthcare team. Facilitate complex home care arrangements in collaboration with the healthcare team. Serve as the lead in obtaining financial and other resources for patients and families in need. Collaborate with the patients physician in competency/capacity determinations, obtaining legal guardianship, involuntary psychiatric admission, adoptions, ethical concerns, etc. Complete and disseminate all necessary legal and clinical documentation as needed for resolution. Identify the need for and conduct family meetings, with or without the physician, that result in understanding, comfort, decision-making, and other important outcomes. Identify and provide for learning needs of patients, families, and healthcare team. Participate in the departments performance improvement/CQI processes. Attend and actively participate in staff meetings; maintain positive working relationships with team and knowledge about community agencies and services. Assume responsibility for professional development and educational requirements for maintenance of professional licensure. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
Certifications and Licensures
MSW: Masters of Social Work
Limited License MSW employees must be actively working to obtain full licensure. These employees must pass licensing exam and work 4,000 hours supervised by a LMSW. Certification in Case Management preferred. Recommended that the Case Manager receives their ACM certification after two years of experience.
Required Education: Masters degree is required
Other Information
Experience, training and skills
- Training and experience, and/or demonstrated competency in casework principles, including diagnosis, assessment, crisis intervention, treatment and transition planning; techniques in individual, family and group therapy; awareness of community resources, public assistance and entitlement programs, ensuring transition to appropriate levels of care; and issues relating to age and stage of development, special needs and cultural patterns of the patient populations being served. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. Mandatory tuberculosis (TB) test must be done as required. Mandatory Occupational Safety and Health Administration (OSHA) training must be completed annually according to the Exposure Control Plan. Adherence to the National Association of Social Workers Code of Ethics Knowledge of medical social work practices, processes as normally acquired through three years' experience working in a hospital (preferred).
- Physical/Mental
- Requirements
- AND
- TYPICAL
- WORKING
- CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
- Physical
- Demand
- Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.
