The Clinical Social Worker (LICSW) is a key member of the interdisciplinary team who provides and oversees the provision of psychosocial care for selected patients and families. Conducts bio-psychosocial assessments, provides intervention and treatment as indicated. Identifies high-risk psychosocial factors of patients/families that impact health status and helps hospital staff understand the influence of those factors upon the course of medical care. Assumes clinical evaluation, intervention and planning for patients with complex psychosocial risk (homelessness, protective services, frail elderly, disabled, psychiatric and substance abuse, etc.). Works effectively as part of interdisciplinary health care teams. Provides clinical services to patients/families that address psychosocial, environmental, age-specific and cultural issues in order to maximize emotional, social and physical well being and the effective use of health care and community resources. Collaborates with and provides social work consultation to other disciplines within the setting and community. Participates on Departmental, Hospital, Satellite, community task forces and committees.
The Clinical Social Worker reports directly to the assigned Social Work Manager.
PRINCIPAL DUTIES AND RESPONSIBILITIES
Provides assessment of patients to evaluate mental health/psychiatric history/emotional issues/coping style, understanding of illness/adjustment/compliance, barriers to care, cultural issues, abuse/neglect and domestic violence.
Provides psychosocial assessment of families to determine family relationships/systems as they relate to care of the patient. Identifies family decision makers and caregivers; family understanding of illness and trajectory of care. Identifies family coping style, family resources and cultural issues.
Employs a range of clinical interventions such as individual, group or family counseling. Provides caregiver/family counseling/support to promote family cohesiveness to provide care to patient and prepare families for end of life. Advocates on behalf of patients and families to gain access to services and resources. Refers patients to other providers, as necessary.
Develops comprehensive bio-psychosocial assessments responsive to age appropriate and cultural needs and concerns. Employs a range of clinical interventions such as psychotherapy (individual, couples, families, and group), psychosocial counseling, crisis intervention, care coordination, complementary therapies, information and referral and safety planning. Advocates on behalf of patients and families to gain access to services and resources.
Provides mandated assessments when abuse is suspected (child, disabled adult, elder) and safety assessment when domestic violence is reported. Files reports as indicated.
Identifies patients' psychosocial, financial, legal, psychiatric or substance use that effect patient care management and collaborates with the team to facilitate patient care process.
Works effectively as part of the interdisciplinary health care team, communicating regularly with the team and other members on cases and as issues arise. Documents timely and relevant information.
Coordinates family/team meetings, as needed and when appropriate. Provides psychosocial consultation on patient care planning and patient/family management and community resources. Implements psychosocial programs based on patient/family identified needs.
Facilitates the appropriate and efficient use of hospital and community resources.
Participates in formal and informal clinical case reviews, clinical supervision, educational seminars and research projects.
Quality, Utilization Management: High Risk Psychosocial:
Intervenes with appropriate individuals/departments/agencies regarding delays in service that may have an impact on quality of patient care, length of stay or inappropriate patient admissions.
Reviews patient information for assigned caseload, determines anticipated length of stay and psychosocial barriers to plan of care transitions discharge plan in collaboration with the Nurse Care Coordinator
Interacts with home care, community agencies and facilities to ensure safe and timely patient care transitions
Negotiates with care coordination team follow-up contact with patient/family, community agency or facility to evaluate the effectiveness of the patient care transitions and identifies problems in service delivery
Ensures coordination of the communication process with patient/family concerning the plan of care, including coordination of family meetings and warm handoffs.
Ensures that patient/family is involved in all phases of the care process to the greatest extent possible.
Maintains current knowledge of and identifies needs in service delivery within social, governmental, protective services and legal agencies.
Participates in data collection for departmental quality assessment activities in collaboration with the care coordination department.
Participates in quality assessment/improvement activities designed to evaluate the appropriateness and effectiveness of the service delivery system in which care coordination operates.
Ensures that the patient and family receive consistent information regarding all aspects of care.
Communicates and collaborates with the Social Work Manager/Team to ensure efficient and quality patient care and equitable caseloads.
Leadership, Teaching and Education:
Assesses patient/family learning needs, styles and readiness. Educates patients/families based on treatment plan, identifies barriers to care, diversity issues and learning styles.
Mentors and may supervise students and staff. May teach in Departmental and Hospital seminars, workshops and rounds.
Demonstrates expert social work clinical practice within the department and with interdisciplinary staff. Provides education and consultation to interdisciplinary health care providers, social work staff and community on psychosocial issues for patients.
Demonstrates active, ongoing commitment to professional growth and development of self and creates an environment conducive to the professional growth of others.
Participates in Departmental and Hospital committees. May participate in social work research.
Takes responsibility for own administrative duties, including timely and appropriate documentation in patient medical records, timely and accurate daily reporting of activities and Hospital's scheduling systems, and accurate reporting of time worked.
Provides clinical documentation including psychosocial assessment, progress notes, and billing compliance (if appropriate).
Attends and participates in Staff Meetings and interdisciplinary meetings/rounds.
Adheres to and fosters compliance with NASW Code of Ethics, and Department and Hospital clinical, quality, compliance and safety standards, policies and procedures.
Expected to mentor, precept, teach social workers and social work residents
Meets Department productivity and standards. Ambulatory staff, ED and ED on-call are responsible for billable hours.
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners; follows safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners, as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.
Education: Master's of Social Work Degree from an accreditedprogram required
Licensure: Current Massachusetts Licensed Independent ClinicalSocial Worker (LICSW) required.
Experience: Previousclinical social work experience in a hospital setting preferred.
Bilingual (English/Spanish) preferred.
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