Social Worker MSW Resource Center Case Mgmt General Hospital

Provision of specialized psychosocial services to inpatients and outpatients and their families served by CAMC. Includes:
Counseling, crisis intervention, implementation and coordination of services for discharge plan, referrals, and other professional services as may be required.

• Receive referrals from case coordinators, nursing, and physicians to coordinate and implement the discharge plan as needed.
• Coordinate out of home placements with patient/family/and other facilities.
• Assist patients and families in understanding and making constructive use of patient care services and community resources (lodging, parking, meals, transportation, prescriptions, government entitlement program referrals, etc.).
• Identify socioeconomic conditions relevant to the health status of patients and stays current in knowledge of various program eligibility guidelines.
• Complete required psycho-social assessments for ESRD, Home Training, pre and post kidney transplant, and rehab patients. Complete other psycho-social assessments as appropriate or needed.
• Assist patients and families with psycho-social adjustment to illness or injury, including: crisis intervention, bereavement issues regarding loss, psycho-social support, support groups, establish treatment plans, etc.
• Respond to referrals for patients and families with complex issues and needs including:
• Respond to educational needs of the staff and community, specifically related to social work issues such as advance directives, teen pregnancy, abuse/neglect issues, etc.
• Education to patient/family/community on advance directives.
• Assistance to patient and family with completion of advance directives, organ donation, etc.
• Procure and manage community donations for ESRD, Baptist Ministries, and Good Samaritan Fund, etc.
• Participate on hospital committees as needed, that are necessary and appropriate