Job Description

Job Description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position will support end stage renal patients including renal transplant candidates through successful transplant.

This candidate should have experience with ESRD and/or Transplant Patient Care.

In this role, the social worker will be responsible for the following but not limited to this list:
Complete psychosocial assessment for selection of a candidate for organ transplant.
Conduct psychosocial assessment and interventions and makes treatment recommendations and engages patients/families in adherence to the treatment plan by reducing or eliminating, to the extent possible, the social, psychological, financial, behavioral, and regulatory barriers to successful medical outcomes.
Deal with families exhibiting complex family dynamics.
Communicate with interdisciplinary team regarding the discharge planning status of all patients referred by them.
Educate patients/family and physician regarding post-acute options and address freedom of choice and financial concerns.
Participate in discharge planning for assigned patients to ensure a timely discharge and provide appropriate linkage with post-discharge care providers and resources.
Serve as a resource person and provides counseling and intervention related to treatment decisions and end-of-life issues.

Responsibilities And Duties:

30% Clinical Assessment
Conducts patient/family/significant other interviews, chart reviews, and professional collaboration to obtain and interpret information pertaining to patient/client biopsychosocial functioning. Assessment to include, but not be limited to: developmental and age-specific needs; ability to care for self; ability to care for dependents; ability to meet basic custodial and financial needs; ability to engage in meaningful social and emotional relationships; and ability to comprehend and comply with treatment recommendations. Develops care plan, including discharge plan, incorporating medical plan of care. Participates in identification of cases of abuse, neglect or exploitation and refers such cases to the legally mandated authorities when applicable. Provides crisis intervention, information and referral and linkage to community resources as needed.

30% Intervention Management
Develops a plan of intervention based upon assessment to resolve identified problems and/or to support and enhance biopsychosocial functioning. Through individual, family, or group modalities, employs clinical intervention skills including, but not limited to, treatment planning; continuum of care planning (including discharge planning); supportive counseling; crisis intervention; specialized problem oriented planning and intervention; and educational counseling.

25% Population Management
Staff is accountable for coordinating clinical and financial outcomes of an assigned population. Works collaboratively with interdisciplinary staff and external organizations to achieve timely, cost effective management of patient care. Monitors for quality and type of services delivered to patients, ensuring management within established parameters. Functions as a liaison to the payer to manage the post-discharge financial resources and ensure expected treatment process, progress and discharge plan. Monitors and ensures completeness of all assigned patients in areas of treatment plan and timely reports. 

10% Documentation and Regulatory Compliance
Thoroughly documents assessments and interventions in patient’s medical record and information systems in accordance with department standards. Complies with internal and external documentation requirements as related to specific patient/system needs and regulatory requirements.

5%
Maintains awareness of current hospital, community services and appropriate care options that can assist patient/clinical biopsychosocial functioning. Provides information as well as facilitates successful linkages between those services and the patient/client. Performs additional functions as may be appropriate to the position.

Minimum Qualifications:

Master's Degree (Required)DL-HC - Driver's License only if in a Home Care department - Department of Motor Vehicles, LSW - Licensed Social Worker - Social Work Certification and Licensure Board

Additional Job Description:

Masters degree in Social Work or a related field and LSW license in the State of Ohio. 1-2 years’ experience as an LSW, preferably in a patient-centric setting and knowledge of medical terminology and computer skills.

Licensed Social Workers with Bachelors of Social Work hired prior to 01/10/2019 are grandfathered into this job. Associates hired after 01/10/2019 will need to meet current qualifications.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

UM Care Coord-North Central Hu

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

Job Tags

Local area, Shift work,

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