Home-Based Social Worker: Telehealth & In-Home Care

• Hours Per Week / FTE: 40 hrs/wk - 1.0 FTE
• Salary Range Minimum : $34.53
• Salary Range Maximum: $44.89
• Compensation: USD 34.53 - USD 44.89 - hourly

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.

Ready to join our quest for better?

The Licensed Social Worker
- Home-Based Service swill provide services to adult and geriatric homebound patients in their residences and via telehealth. This role requires travel to patient homes and the ability to work effectively in a home-based care setting.

The
Social Worker
reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Provide social work services to adult and geriatric patients in their residences and via telehealth.
• Travel to patient homes to deliver services.
• Work in patient residences, which may include private homes, group homes, or assisted living facilities, and adapt to a variety of environmental conditions commonly encountered in the home setting, including pets, pet dander, dust, smoke, noise, clutter, varying indoor temperatures, and weather conditions during travel.
• Maintain effective communication and coordination with patients, families, and care teams.
• Ensure services are provided in accordance with professional standards and organizational requirements.
• Collaborates and participates in the coordination of screening, assessment, and discharge planning activities in high risk patients and their families with complex psychosocial and economic needs.
• Utilizes expertise and problem solving skills to achieve optimal clinical outcomes within effective resources and time frames.
• Promotes a seamless and safe discharge throughout the continuum of care
• Collaborates with the care team for discharge planning and community linkage for patients and families with complex social, economic, and emotional needs.
• Participates in care conferences and unit rounds. Keeps all members of the care team apprised of the current state and plan of care.
• Develops positive relationships with co-workers, members of the care team, and community resources.
• Collaborates with care team members to identify at risk populations and opportunities to improve care delivery and on-going support, thus increasing efficiencies and effectiveness.
• Makes timely and appropriate referrals to ancillary support staff in order to facilitate progress toward a safe discharge.
• Partners with the post-acute care providers and shares appropriate and pertinent information in order to create a seamless and safe discharge plan.
• Identifies, assesses and responds to patient and family needs, incorporating age specific developmental, psychological, cultural and spiritual needs. Emphasis is placed on addressing the social and emotional needs of the patient and family that may impact on the patient's response to medical treatment. These needs may include, but are not limited to, adjustment to illness, poor or limited coping abilities, functional impairment, mental illness, guardianship issues, compliance, need for additional resources due to limited funds available, substance abuse,…