Social Worker II-MSW - Main Social Work - Full Time - Days
The Christ Hospital Health Network · US
To provide services to The Christ Hospital patients and families by assessing psychosocial needs and implementing a discharge plan of care to assure continui...
Job description
To provide services to The Christ Hospital patients and families by assessing psychosocial needs and implementing a discharge plan of care to assure continuity of the patient’s care. Provides psychosocial interventions, advocacy and linkage with community resources. ASSESSMENT/SCREENING: - Assess patients’ evolving medical situation from a psychosocial framework, including functional status, goals of care, and community support needs as it relates to discharge planning - Assess family structure, dynamics, and decision-making preferences, including identification of a surrogate decision maker if needed - Assess patient/family environmental risk factors, patient/family/community support systems, age-related/developmental issues, financial barriers, health literacy, chemical dependency/mental health, Social Determinants of Health needs, and any risk of abuse/neglect/financial exploitation/intimate partner violence - Assess for risk of readmission, putting into place a coordinated plan for outpatient follow up DOCUMENTATION: - Documents in Discharge Planning progress notes a clear, concise, objective psychosocial assessment, treatment plan, and progress of social work intervention and...