Clinical Social Worker; C)

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Job Description
- Clinical Social Worker (C) (260006OR)

Clinical Social Worker (C) - ( 260006OR )

The Massachusetts Department of Public Health (DPH) at Tewksbury Hospital is looking for a Clinical Social Worker C to join its team. This role provides a range of clinical social work services to a diverse, high-risk caseload of short-term and long-term inpatients at a public, long-term acute care hospital. The Clinical Social Worker C provides clinical assessment, counseling, crisis intervention, case management, discharge planning, patient and family education, and referrals to community resources while working collaboratively with an interdisciplinary team.

This position also provides supervision to Social Worker A/B staff and supports patients and families in navigating complex medical, psychosocial, legal, financial, and community-based needs. This is an excellent opportunity for a licensed clinical social worker with experience in healthcare, discharge planning, and working with individuals with complex medical, developmental, neuropsychiatric, or substance use needs.

Please note:
The schedule for this position is Monday
- Friday, 7:30am - 3:30pm.

• Complete a High-Risk Screen on all new admissions within two working days of admission.
• Complete Discharge Planning Assessments for patients identified as needing post-hospital continuing care services.
• Supervise assigned Social Worker A/B staff; meet regularly with supervises to review cases, identify and address problems, and assign duties consistent with their position responsibilities.
• Work collaboratively with the interdisciplinary team to address behavioral and psychosocial issues affecting patients.
• Coordinate the documentation, format, and scheduling of weekly Interdisciplinary Team Conferences and participate in Patient Care Conferences and other regularly scheduled meetings.
• Attend weekly rounds and conduct ongoing case-finding activities to assess changes in patients' overall status and identify psychosocial stressors requiring intervention.
• Provide individual and/or group counseling to patients and family members to assist them in coping with stressors, crises, and conflicts related to illness, disability, and institutional living.
• Serve as the interdisciplinary team's liaison with designated family members or surrogate decision makers to promote effective communication and support positive relationships with patients and families.
• Document social work services and interventions in the Electronic Medical Record (EMR) in accordance with hospital and departmental policies and procedures.
• Assist patients and/or surrogate decision makers in applying for and maintaining health insurance and disability income benefits available through state and federal programs.
• Maintain care and custody of patients during trips to discharge destinations, community agencies, and court appearances, providing information and social support as indicated.
• Provide care and custody of patients, including individuals with aggressive behavioral or criminal histories, during one-on-one meetings and off-unit trips related to benefits, discharge planning, and other necessary services.
• Assist patients with annual Sex Offender Registry Board (SORB) registration when indicated.
• Serve as the discharge planning coordinator for assigned units and work collaboratively with interdisciplinary team members to develop and implement comprehensive post-hospital continuing care plans.
• Engage patients and surrogate family members in discharge planning discussions in a caring, compassionate, and respectful manner and encourage active participation in the planning process.
• Educate patients and, when appropriate, family members regarding services, programs, benefits, and resources available through state, federal, and private agencies.
• Maintain current knowledge of health and social welfare programs and services relevant to adults, including counseling, rehabilitation, health insurance, disability programs, addiction services, group homes, subsidized housing, nursing homes, assisted living, and outpatient medical care.
• Coordinate referrals to community agencies and programs in a timely and accurate manner and review patient care documentation for clarity, completeness, and timeliness.
• Coordinate durable medical equipment, supplies, medical appointments, skilled…