Social Worker​/MSW; Per Diem) Stratford

Job Details

Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.

Provides social work services, assesses and enhances the patient's/family's/significant other's ability to cope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient.

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. (Do not delete, move or over-write this statement)
• Conducts psychosocial assessment/reassignment of patients/significant others relating to the social, emotional and cognitive capabilities of patients in relationship to their illness and health maintenance needs.
• Develops and implements a plan of intervention that addresses identified needs related to needs/problems identified during assessment.
• Collaborated with the multidisciplinary team to ensure appropriate discharge planning.
• Provides counseling for patient/family/significant others to assist with coping with new diagnoses, chronic illness and palliative or terminal care.
• Advocates on behalf of the patients/families to enable them to obtain necessary services.
• Refers patient/significant other to community based services/resources to meet patient’s continuum of care needs.
• Coordinates team and/or family conferences when necessary to facilitate patient’s care progression.
• Provides psychosocial counseling and crisis interventions to patients/significant others with needs.
• Provides interventions in cases involving child abuse/neglect, domestic violence, elder abuse and institutional abuse.
• Provides intervention in cases involving guardianship, foster care, adoption, psychiatric assessment and placement, Advance Directives (Center City), trauma and substance abuse.
• Facilitates completion of all placement related documentation in nursing home grants, applications, etc.
• Completes referrals to options programs where appropriate.
• Documents in accordance with hospital and departmental requirements.
• Works with Case Managers in providing discharge planning services per departmental policies and procedures in collaboration with the multidisciplinary team and patient/family.
• Identifies patients and locates family and/or next of kin.
• Educates patients/significant others on the process for obtaining health insurance.
• Provides appropriate documents/information to apply for welfare insurance.
• When necessary, initiates medical assistance application in a timely manner (Center City) or ensures medical assistance application has been initiated by identified external agencies (excludes Center City).
• Follows up with identified external service regarding application.
• Provides psychosocial assessment and intervention as well as documents in the electronic medical record updates throughout patient’s hospitalization, discharge planning process and relevant post-acute care.
• Supervises field placement of MSW students.
• When appropriate, refer case to the Placement Official Social Worker to assist in obtaining placement for the patient’s discharge (Center City and Abington/Lansdale).
• Precept and mentor new staff members to their role and department.
• Facilitates and coordinates discharge plans for patient identified to leave on the weekend, including homecare/hospice services; transportation; post-acute facility placements.
• Performs assessments and develops relevant interventions specifically for trauma…