Work Type: Active - Benefit Eligible and Accrues Time Off Exempt: Yes
Work Schedule: Weekdays with Occasional Weekends Work Hours per Biweekly Pay Period: 80
Shift Time: Location: Medical Center, US:FL:Lakeland
Summary: Coordinates post hospital care arrangements and provides psychosocial support and assistance to patients and families such that patients move through the continuum of care in a safe and timely manner. Performs initial inclusive assessment; develops and refines individualized discharge plan; effectively manages barriers to discharge; responds to emotional factors; maintains knowledge of and connects patients with appropriate community resources and services; advocates for patients' rights including self-determination; collaborates with and facilitates communication among care providers; documents in the medical record and in computer systems in a concise and timely manner; adheres to organizational policies and procedures, regulatory accrediting body requirements, and professional practice standards. Perform other related duties as assigned.
Detailed responsibilities: * People At The Heart Of All We Do - Fosters an inclusive and engaged environment through teamwork and collaboration. - Ensures patients and families have the best possible experiences across the continuum of care. - Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. * Safety And Performance Improvement - Behaves in a mindful manner focused on self, patient, visitor, and team safety. - Demonstrates accountability and commitment to quality work. - Participates actively in process improvement and adoption of standard work. * Stewardship - Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. - Knows and adheres to organizational and department policies and procedures. * Standard Work Duties: Sr Social Worker/MSW - Actively participates in team development, achieving dashboards, and in accomplishing department goals and objectives. Proactively assesses and re-assesses patients and families for psychosocial, discharge planning, and financial needs so that an appropriate social work plan is developed per departmental protocols. Use clinical expertise in assessment of situations and as basis for social work response. - Initiates appropriate and complete referrals in a timely manner to post hospital care services, such as SNFs, home health agencies, hospices, and DME companies through the development of collaborative relationships and per departmental protocols. Coordinate details of final discharge disposition so that discharge is safely achieved without avoidable delays and to the satisfaction of the patient, family and care team. Uses clinical expertise to empower patients to respond to present situation and utilize resources. - Demonstrates comprehensive knowledge of and completes effective referrals to resources addressing the financial aspect of patient care including, CARES, eligibility vendor, indigent medication programs, and other financial resources. - Effectively responds to serious patient situations such as abuse, neglect, drug abuse, and homelessness by appropriate referrals and intervention per departmental protocols. Utilize skills in working effectively with those in domestic violence situations. Demonstrating understanding of person-in-situation, provides appropriate listening, supportive services, and employs a variety of therapeutic counseling modalities with patients and families as they cope with the stressors of illness. Refer to community providers for additional counseling and/or support groups. - Communicates and works collaboratively with physicians, hospital staff, payers, and other external and internal vendors, so that expected patient and program outcomes such as appropriate utilization of services, levels of care, and alternative discharge arrangements are achieved. Uses advanced social work knowledge to communicate person-in-situation issues when appropriate. - Documents per departmental protocol such that a clear picture of the patient, his/her needs, plans, current status, financial/insurance information and the social work interventions used are noted in a concise manner that also reflects confidentiality and respect. - Plans and prioritizes work in such a manner as to achieve departmental objectives and individual productivity targets while functioning as a team member and responding to patient needs in areas regularly assigned and throughout the hospital as needed. - Demonstrates quality social work through adherence to social work values as established by NASW and accepted hospital social work standards of practice and by exhibiting reliability, accuracy and responsibility in all aspects of social work services. - Contributes to development of social work department by increasing and sharing knowledge and skills which include required education, in-services, department meetings, formal and informal education, as well as review of hospital policies and procedures. - Provides individual and/or group psychosocial support when indicated to alleviate anxieties, fears, and other emotional issues related to illness, and adjustment to physical and mental changes. Perform other related duties as assigned to support the essential functions of social work and the operational needs of the department.
Qualifications & Experience
Education: Essential: * Master Degree
Education equivalent experience: Essential: * Master degree from a CSWE accredited school of social work and with health care experience.
Other information: Licenses Preferred: LCSW
Internal Number: 5779
About Lakeland Regional Health
Lakeland Regional Health is committed to providing patient-focused, health care services while continuing to improve the quality of care to our patients, families, guests and physicians.