CSW; Certified Social Worker

Social Worker

This position supports Mercy's philosophy of patient centered care by providing our patients and their families support and resources to manage the many psychosocial aspects of illness. A social worker works with patients and their identified support system to access the needed resources to cope with illness and life changes triggered by illness. This may include referral to needed community resources assistance in applying for financial assistance programs or the provision of supportive counseling in coping with illness and the life changes resulting from illness.

Job Duties

• Ensure that all accurate and clinically relevant information is communicated with patients their families and co-workers at hand offs and other times as needed.
• Take all measures necessary to ensure that the appropriate and involved parties have communicated necessary information in order to allow for the best possible patient outcome.
• Assesses patient/family social emotional and economic factors through initial assessment and ongoing evaluation/assessment and reassessment.
• Serves as a resource to the patient/family assisting them with accessing appropriate resources to address concerns/needs.
• Actively participates in multidisciplinary team meetings advocating for the patient and educating team regarding psychosocial issues impacting ability to cope with health care concerns and safely preparing for care transitions/discharge planning.
• Documents in the medical record accurately timely and in accordance with professional and department-specific standards.
• Demonstrates an understanding and an ability to work effectively with the community professionals/agencies providing patient services throughout the continuum of care.
• Maintains current knowledge of community and other resource networks for planning/provision to meet patients' needs.
• Performs supportive counseling services and crisis intervention to patients and families.
• Demonstrates skills in advocacy for all populations served.
• Follows Mercy's safety guidelines carries out job-specific safety duties and responsibilities and promptly reports any unsafe conditions situations incidents and injuries.

Department Specific Duties

• Specialized knowledge of acute care medicine and hospital operations
• Expertise in Medicare/CMS discharge planning requirements and accreditation expectations.
• Direct Responsibility for safe and timely discharge planning that affects patient outcomes and organizational finances.
• Daily collaboration with physicians and interdisciplinary teams in a fast-paced acute care environment.
• Management of complex placement barriers insurance issues guardianship advance directives and post-acute services.
• Influence on length of stay avoidable days readmissions patient flow and bed capacity.
• Assisting acutely ill patient with multiple medical psychosocial and financial needs.
• Conduct comprehensive chart reviews for assigned patients including medical history IV antibiotic needs infectious disease involvement oxygen requirements and referral sources to support discharge planning.
• Complete initial case management and Social Determinants of Health (SDOH).
• Demonstrates an ability to de-escalate patient and/or family situations utilizing CPI techniques. (ED Behavioral)
• Assist in transfer change in level of care and discharge planning by implementing and coordinating services with the interdisciplinary team required for discharge. (Inpatient Hospice)
• Assists with determining patient's appropriateness for hospice services consistent with Hospice of Mercy policies and admission criteria and in conjunction with patient's physician. (Hospice)
• Confirms payer source for healthcare needs which includes entering and verifying information re-certification and contacting…