Job Description
Job Overview:
Assess the psychosocial needs of the patient and family to develop, communicate, and implement an effective and comprehensive plan for psychosocial interventions and complex discharges, included but not limited to readmission in the high risk population. Is a resource regarding social systems, institutions, and behavioral and relationship patterns. Can skillfully apply the appropriate interventions to meet the needs of the patient and family. Collaborates with the multidisciplinary team to assure effective, efficient, appropriate care in order to optimize the health status and assure a smooth transition between levels of care for patients served.
Job Requirements:
Bachelor's or Master's Degree in Social Science or Social Work
Licensed Social Worker
Payer rules for reimbursement
Community resources for patients who have limited funds Excellent assessment and intervention skills
Computer literate
Up to 1 year experience Clinical Healthcare Community Social Work
Job Responsibilities:
Responds to referrals and assesses the psychosocial and complex discharge needs of patients and families using data from the medical record, patient, multidisciplinary team, family, and other available resources.
Develops and implements plan of care based on assessment including counseling or crisis intervention, and facilitates linkages to community resources and services. Revises plan based on patient and family response.
Communicates (verbally and written) and collaborates with the multidisciplinary team to advise of the plan and patient response to the plan.
Applies root cause analysis to readmissions and works with the health care team, patient, and family to resolve the issues.
Provides on-call services according to departmental policy including timely response and appropriate follow up.
Other Job-Related Information:
Working Conditions:
Climbing - Occasionally
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Kneeling - Occasionally
Lifting 50+ Lbs - Rarely
Lifting
TriHealth is an equal opportunity employer. We are committed to fostering a diverse and inclusive workforce.
