Social Worker
Performs duties relevant to addressing the psychosocial concerns of Memorial Health patients and families.
Mobilize health, psychosocial, and economic resources in order to promote optimal outcomes for the patient and family.
Collaborates and partners with patients and providers as an integral member of the care team and act as a liaison by advocating between the patient, family, healthcare providers, services, and community agencies in order to expedite use of healthcare services in the community and across the continuum of care.
Education:
Masters degree of Social Work from a School of Social Work accredited by the Council on Social Work Education.
Licensure/Certification/Registry:
Illinois Licensed Social Worker (for Advanced Care Management, required within six months of hire date) required.
Experience:
Knowledge of adults across the life span presenting with chronic or serious illness
Experience identifying and coordinating the needs of chronically ill patients and families as well as supporting the care team
Knowledge of local community resources.
Other
Knowledge/Skills/Abilities:
Flexible problem solver who is eager to tackle complex problems and tasks
Excellent verbal and written communication skills; ability to solve problems creatively
Ability to work across multiple sites of care and multiple members of a care team while managing competing commitments through clear communications
Ability to work in a changing and ambiguous environment.
Self-starter with initiative
Experience identifying issues and developing and implementing solutions
Must possess strong oral and written communication skills, planning skills, problem-solving skills, and personal diplomacy skills.
Demonstrates personal traits of a high level of motivation, team orientation, professionalism and trustworthiness.
Excellent PC skills, including the use of Microsoft Office products.
Familiarity with EMR clinical products preferred.
Biopsychosocial Assessment
Utilizing specialized knowledge and experience, make assessment of patients psychosocial needs, home situation and economic constraints
Community Resources
Serve as liaison between patients/ families and community agencies
Coordinate information and referrals for financial and community resources to link patients/families to the appropriate resources.
Serve as resource to clinical team, patients and families regarding entitlement to programs and support services
Develop strong working relationships with internal and external healthcare organizations and community resources.
Work with patients to formulate an individualized plan to obtain medication, particularly, in light of Medicare coverage limitations including the facilitation of enrollment in various drug companies patient assistance programs when warranted
Care Delivery
Work closely and collaboratively with the clinical care team across sites of care
Assist the team with care delivery by scheduling appointments, assisting with the completion of forms, ensuring that patients can access services, and arranging transportation to and from medical appointments as needed
Participate in clinic office visits, team rounds, or family conferences with when needed based on site of care
Care Transitions
Coordinate patient care with other disciplines involved in the plan of care and maintain appropriate documentation
Confer with the patient, family, and clinical team to obtain information to coordinate efficient and quality patient care.
Build relationships with primary care providers, skilled nursing facilities, and the community to promote continuity of care
Support
Provide crisis intervention and supportive counseling for patients and their families as needed
Serve as patient advocate, assisting with navigation of patient eligible resources and programs
Provide patients and families with support and information to overcome personal and environmental difficulties which pre-dispose toward illness or interfere with obtaining maximum benefits from medical care
Assist patients to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities
Evaluate patients ability to independently manage self and locate alternative resources when limitations are identified
Advance Care Planning
Maintains a working knowledge of relevant medical/legal issues that impact patient care, e.
g.
, advance directives, power of attorney, and guardianships.
Counseling
When requested, provide group, individual, and family counseling to patients and their families as requested
Discharge Planning
Initiate discharge planning and care coordination for patients as appropriate
Record documentation for all social work activities in the electronic medical record in a timely and thorough manner.
Adhere to department productivity standards.
Participate in the monitoring of quality and utilization metrics and participates in improvement efforts to refine the delivery of care to maximize clinical, quality, and fiscal outcomes.
Assists, as needed, in the staff training, new employee orientation, student education, community education, in-house activities, and general public relations activities.
Refer to ancillary teams when warranted.
Aware of and comply with department and hospital policy and procedures.
Demonstrates knowledge of care for older adults through accurate assessments, treatment and effective implementation of interventions.
Adhere to the NASW Code of Ethics.
Participate in continuing education and in-service training to support professional growth and expertise.
Perform other related duties as assigned.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.
Incumbents may be requested to perform tasks other than those specifically Requisition ID:
2023-17256 Street:
200 W.
Dodge St.
Recommended Skills Assessments Care Coordination Clinical Works Communication Crisis Intervention Diplomacy Estimated Salary: $20 to $28 per hour based on qualifications.
Mobilize health, psychosocial, and economic resources in order to promote optimal outcomes for the patient and family.
Collaborates and partners with patients and providers as an integral member of the care team and act as a liaison by advocating between the patient, family, healthcare providers, services, and community agencies in order to expedite use of healthcare services in the community and across the continuum of care.
Education:
Masters degree of Social Work from a School of Social Work accredited by the Council on Social Work Education.
Licensure/Certification/Registry:
Illinois Licensed Social Worker (for Advanced Care Management, required within six months of hire date) required.
Experience:
Knowledge of adults across the life span presenting with chronic or serious illness
Experience identifying and coordinating the needs of chronically ill patients and families as well as supporting the care team
Knowledge of local community resources.
Other
Knowledge/Skills/Abilities:
Flexible problem solver who is eager to tackle complex problems and tasks
Excellent verbal and written communication skills; ability to solve problems creatively
Ability to work across multiple sites of care and multiple members of a care team while managing competing commitments through clear communications
Ability to work in a changing and ambiguous environment.
Self-starter with initiative
Experience identifying issues and developing and implementing solutions
Must possess strong oral and written communication skills, planning skills, problem-solving skills, and personal diplomacy skills.
Demonstrates personal traits of a high level of motivation, team orientation, professionalism and trustworthiness.
Excellent PC skills, including the use of Microsoft Office products.
Familiarity with EMR clinical products preferred.
Biopsychosocial Assessment
Utilizing specialized knowledge and experience, make assessment of patients psychosocial needs, home situation and economic constraints
Community Resources
Serve as liaison between patients/ families and community agencies
Coordinate information and referrals for financial and community resources to link patients/families to the appropriate resources.
Serve as resource to clinical team, patients and families regarding entitlement to programs and support services
Develop strong working relationships with internal and external healthcare organizations and community resources.
Work with patients to formulate an individualized plan to obtain medication, particularly, in light of Medicare coverage limitations including the facilitation of enrollment in various drug companies patient assistance programs when warranted
Care Delivery
Work closely and collaboratively with the clinical care team across sites of care
Assist the team with care delivery by scheduling appointments, assisting with the completion of forms, ensuring that patients can access services, and arranging transportation to and from medical appointments as needed
Participate in clinic office visits, team rounds, or family conferences with when needed based on site of care
Care Transitions
Coordinate patient care with other disciplines involved in the plan of care and maintain appropriate documentation
Confer with the patient, family, and clinical team to obtain information to coordinate efficient and quality patient care.
Build relationships with primary care providers, skilled nursing facilities, and the community to promote continuity of care
Support
Provide crisis intervention and supportive counseling for patients and their families as needed
Serve as patient advocate, assisting with navigation of patient eligible resources and programs
Provide patients and families with support and information to overcome personal and environmental difficulties which pre-dispose toward illness or interfere with obtaining maximum benefits from medical care
Assist patients to effectively utilize available resources to meet their personal health needs and help them develop their own capabilities
Evaluate patients ability to independently manage self and locate alternative resources when limitations are identified
Advance Care Planning
Maintains a working knowledge of relevant medical/legal issues that impact patient care, e.
g.
, advance directives, power of attorney, and guardianships.
Counseling
When requested, provide group, individual, and family counseling to patients and their families as requested
Discharge Planning
Initiate discharge planning and care coordination for patients as appropriate
Record documentation for all social work activities in the electronic medical record in a timely and thorough manner.
Adhere to department productivity standards.
Participate in the monitoring of quality and utilization metrics and participates in improvement efforts to refine the delivery of care to maximize clinical, quality, and fiscal outcomes.
Assists, as needed, in the staff training, new employee orientation, student education, community education, in-house activities, and general public relations activities.
Refer to ancillary teams when warranted.
Aware of and comply with department and hospital policy and procedures.
Demonstrates knowledge of care for older adults through accurate assessments, treatment and effective implementation of interventions.
Adhere to the NASW Code of Ethics.
Participate in continuing education and in-service training to support professional growth and expertise.
Perform other related duties as assigned.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.
Incumbents may be requested to perform tasks other than those specifically Requisition ID:
2023-17256 Street:
200 W.
Dodge St.
Recommended Skills Assessments Care Coordination Clinical Works Communication Crisis Intervention Diplomacy Estimated Salary: $20 to $28 per hour based on qualifications.
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