Social Worker- One Health at Home-Wake Forest-FT Days

Department

• 02063
• GCMG
• One
• Health:
• Lake
• Norman -
• Chronic
• Complex
• Care
• Status:
• Full time
• Benefits
• Eligible:
• Yes
• Hours
• Per
• Week: 40
• Schedule
• Details/Additional
• Information: Candidate must reside in the Wake area and be able to travel to locations in
• Wake market
• Monday
• Friday 8:00am - 5:00pm. This position is part of a growing, team-based home health program that provides care in patients’ homes, serving a diverse population including post-acute, chronically ill, prenatal, postpartum, and high-risk pregnancy patients. The Social Worker can expect office work and a mobile work environment with some travel between patient residences and office. The role follows a structured weekday schedule with some flexibility based on patient needs and works closely with a multidisciplinary team to deliver coordinated, compassionate care. Opportunity to expand to nights and weekends at a future date.
• Pay
• Range: $30.70 - $46.05 Provides education and support services to patients, families and staff. Also provides psychosocial assessment, counseling, crisis intervention and information/referral services on a consultation basis to patients and families. Works collaboratively with the Clinical Care Management team to effect positive patient and family outcomes and to ensure efficient utilization of resources. Essential Functions Interviews patient/patient's social support system to complete initiate psychosocial evaluation. Provides counseling/support/education to patient/patient's social support system. Assists patients/patient's social support system in coping with stress related to hospitalization, disability, chronic/terminal illness. Works collaboratively with the patients and patient's social support system to establish and implement a plan of care with multidisciplinary team that meets the patient's identified psychosocial needs. Serves as a resource to hospital staff and physicians regarding emotional, social, and psychosocial components of the patient's illness and its effects on their social support system. Assists and facilitates the multidisciplinary team in understanding and integrating these aspects into the plan of care. Intervenes in crisis situations, appropriately and effectively applying crisis intervention theory' and skills Completes psychosocial assessments for the patient's post hospital care for designated patient's and their support system. Works with the Clinical Care Management team to assess and evaluate the patient/patient's social support system for the appropriate level of care or environment setting to meet care needs across the continuum. Participates in multidisciplinary care planning meetings. Maintains current knowledge and researches availability of community agencies and community resources for social, emotional or financial assistance. Provides information, education to patients and their social support on community resources and options for post hospital care appropriate to the age of the patients served, in collaboration with the Clinical Care Management team. Make referrals to community agencies as needed. Reports suspected cases of child & adult abuse/neglect/exploitation. Serves as liaison between hospital, patients/patient's social support system and Department of Social Services during evaluation/investigation. Identifies and records clinical, psychosocial and financial barriers to a smooth transition across the healthcare continuum and assists in identifying and facilitating system improvements. Works with Clinical Care Management leadership to identify problems, recommended solutions and works toward resolution. Develops and maintains accurate case records of each referred patient. Documents in medical record according to departmental standards. Physical Requirements Works in an office type setting, extensive walking throughout the facility. Prolonged periods of sitting reviewing medical records, documentation. Repetitive wrist motion and occasional lifting of 10-20 pounds. Requires frequent verbal and written communication in English. Intact sight and hearing with or without assistive devices is required. Must be able to handle a fast paced environment, moving independently from one location to another.