SUMMARY As a Social Worker, you play an important and trusted role in the lives of patients and their family. You are an integral part of their care and recovery. LOCATION: ElderOne Hudson POSITION: Social Work Housing Coordinator SCHEDULE: M-F 8-4:30PM ATTRIBUTES One (1) year of experience in a healthcare setting preferred Compassionate, warm and patient focused Exceptional documentation and planning skills Excellent communication and interpersonal skills
Responsibilities
Patient Care. Determine patient needs through rounds, chart review, patient/family interviews and team conferences; coordinate multidisciplinary and agency case conferences; work with care managers to advocate for patient/family to obtain approval for insurance coverage Referral Management. Manage referrals related to patients at risk and determine appropriate intervention strategies and document as implemented; ensure inappropriate referrals are channeled correctly and documented Treatment Plan Development. Coordinate assessments and develop care plan in accordance with accepted social work policy; implement plan of intervention preparatory to discharge or initiate continued care plan
Key Responsibilities
- Manages referrals related to patients with psychosocial needs and determines appropriate interventions and strategies to meet those needs. Reviews track board census or documentation to identify high risk patients not referred. Determines patient needs through interdisciplinary rounds, chart review, patient/family interviews and team conferences. Documents social work intervention. Ensures that all inappropriate referrals are channeled correctly and documented.
- Assesses patient needs and determines mode of intervention. Possesses appropriate age and specific knowledge about the dynamics of group assigned and assesses patient needs accordingly as documented in Care Connect or medical record. Interviews patients and/or families and records psychosocial assessments in accordance with the social work documentation policy as documented in chart. Coordinates assessments and develops care plans in accordance with accepted social work policy as documented in chart. If indicated, evaluates patients for the appropriate level of care as documented in chart, office file, and by referrals. Coordinates multidisciplinary and agency case conferences as needed, as verified through chart notes indicating attendance, problems discussed and treatment plan.
- Implements plan of intervention preparatory to discharge or initiating continued care plan in compliance with departmental and governmental regulations.
- Works with care manager, acts as intermediary, with Health Care Insurance providers (ex. HMO’s, private insurance, Medicare), advocating for patient/family, to obtain approval for coverage as documented in the chart. Involves patient/family in the treatment planning process as demonstrated in the chart notes, and signatures on the appropriate forms.
