Oncology Social Worker

Major responsibilities

Provides social work services to patients, families, and individuals including psychosocial assessment, screening, determination of needs evaluation, appropriate interventions and follow up, and discharge planning. Implements interventions substantiated by assessment as appropriate to the needs of the patient/client system and consistent with available resources and payer network.

Participates as part of the multi-disciplinary health care team to develop safe and timely coordination of care including but not limited to post-acute placement, palliative/hospice service lines, medical equipment, home healthcare, outpatient follow up, mental health resources, and other community resources. Advocates for patient involvement in the plan of care. Initiates and coordinates interventions with the activities of other members of the health care team.

Maintains up-to-date knowledge of community resources, legislation, and regulations impacting health care delivery and educating patients and families on these issues as appropriate. Provides resources to patients and families to ensure a timely discharge and to provide an appropriate link with post-acute care providers and services. Provides support and connection to additional services such as bereavement and loss, ethical issues, advanced directives, and end of life issues. Connects patients to appropriate agencies on issues of suspected abuse and neglect, domestic violence, guardianship, and other social matters. Collaborates with community agencies and institutions to plan continued care and to coordinate interventions Provides resources and education to patients and families regarding appropriate resources and access to community social services.

Communicates effectively with patients, family, other members of the health care team and community agencies and facilitates resolution of issues which could impact on continuity of care (e.g., prior-approvals, application requirements, transfer paperwork). Documents activity according to department and program protocols or standards.

Manages the progression of patients stay with the goal of optimizing the LOS and ensuring appropriateness of assigned Level of Care. Manages the patient’s care across the continuum to decrease unnecessary readmissions. Manages and coordinates patient care within an ACO environment to help facilitate patient outcomes through in network care coordination. Accountable for site specific KRA goal achievement as it relates to Care Coordination across the continuum. Participates in the orientation of new staff and/or education of social work students.

Provides education to patients/families regarding Advance Directives for health care decision-making. Assists with execution of these documents as appropriate. Participates in legal proceedings as necessary to secure legal decision-makers.

Maintains professional standards and responsibilities for his/her own professional practice according to accreditation, hospital, system, state and NASW Standards and Code of Ethics. Completes all required continuing education to maintain licensure and increase knowledge within area of practice specialty.

Minimum knowledge, skills and abilities (Ksa)

Demonstrated knowledge of social work principals and methods and the ability to apply these in a health care setting.

Demonstrates time management, professional accountability, and documentation skills.

Demonstrates communication skills and the ability to collaborate within a multi-disciplinary team.

Demonstrates and acts in accordance with safety principals of an accountable care organization.

Physical requirements and working conditions

This position requires travel, therefore, will be exposed to weather and road conditions.

Operates all equipment necessary to perform the job.

Exposed to a normal office environment.

Exposed to patient care environment. May be exposed to hazardous materials and life-threatening diseases, therefore team members must abide by personal protective equipment as ordered.

Weekend, holiday, and evening coverage per site requirement.

Position requires sitting, standing, speaking, reading/writing, and walking throughout the workday.

Fast paced work environment with established time constraints per site.

Advocate Health [https://www.advocatehealth.org/] is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.

Providing care under the names Advocate Health Care [https://www.advocatehealth.com/] in Illinois; Atrium Health [https://atriumhealth.org/] in the Carolinas, Georgia and Alabama; and Aurora Health Care [https://www.aurorahealthcare.org/] in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine [https://school.wakehealth.edu/] serving as the academic core of the enterprise.

It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs.

Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.