Social Worker, Licd Clinical - Abdominal Transplant

Social Worker, Licd Clinical - Abdominal Transplant

Memorial Hermann Health System

The Licensed Clinical Social Worker systematically intervenes to provide clinical social work and complex discharge planning to patients and their families who have psychosocial needs, require assistance with eligibility determination for social programs and funding sources, and qualify for community assistance from a variety of special funds and agencies. In addition, offer crisis intervention and/or mental health assessment to patients and families with psychosocial needs and coordinates and facilitates the development of a multidisciplinary discharge plan for the care of high-risk patient populations.

This role participates in an interdisciplinary team (including physicians, case managers, staff nurses and other members of the care team) to provide services for individuals from at-risk populations and ensure that psychosocial issues are attended to and treated as required across the continuum of care. Typically reports to the manager or director, case management.

• Education: Graduate of an accredited masters of social work program (MSW).
• Licenses/Certifications: Current license as a Clinical Social Worker (LCSW) in the state of Texas required; ACM certification from American Case Management Association (ACMA) preferred.
• Experience / Knowledge /
  
  Skills:
  
  
  • Three (3) years’ healthcare social work experience required.
  • Acute inpatient hospital social work experience preferred.
  • Effective oral and written communication skills.
  • Working knowledge of DSM V and ICD-10 manuals.
  • Demonstrates advanced knowledge and skill in social work assessment and treatment of patients for mental health status and substance abuse screening.
  • Excellent therapeutic communication and negotiation skills in interactions with patients, families, physicians and health care team colleagues.
  • Strong analytical skills.
  • Working knowledge and/or experience in utilization management, managed care, and payor issues.
  • Exposure and/or experience in ambulatory and post-acute care, as well as, community resources.
  • Ability to work independently, as well as develop collaborative relations with physicians, families, patients, interdisciplinary team and other community agencies.
  • Effective oral and written communication skills.

• Assesses patient’s and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
• Develops and carries out a treatment plan by the use of a clinical social work diagnoses, assessments, and treatment interventions.
• Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
• Provides short‑term individual, marital and family therapies as well as crisis intervention.
• Provides intervention in cases involving child abuse/neglect, domestic violence, guardianship (temporary/permanent), institutional abuse, foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
• Serves as a resource person and provides counseling and intervention related to treatment decisions and end‑of‑life issues.
• Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
• Participates in discharge planning activities for complex patients, to ensure a timely discharge and to provide appropriate linkage with post‑discharge care providers.
• Interacts with families exhibiting complex family dynamics that impact directly on patient care and discharge.
• Communicates with the clinical and case management team members regarding the discharge planning status of all patients referred by them.
• Provides consultation to clinical and case management team members when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes.
• Receives referrals for complex patient problem resolution from…