Job Details
Job Summary
Provides social work services, assesses and enhances the patient’sfamily’ssignificant other’s ability to cope with physical, emotional and environmental problems related to illnessconvalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient
Job Description
Essential Functions
• Interacts with coworkers, visitors, and other staff consistent with the values of Jefferson.
• Conducts psychosocial assessmentreassignment of patientssignificant others relating to the social,
emotional and cognitive capabilities of patients in relationship to their illness and health
maintenance needs.
• Develops and implements a plan of intervention that addresses identified needs related to
needsproblems identified during assessment.
• Collaborated with the multidisciplinary team to ensure appropriate discharge planning
• Provides counseling for patientfamilysignificant others to assist with coping with new diagnoses,
chronic illness and palliative or terminal care
• Advocates on behalf of the patientsfamilies to enable them to obtain necessary services.
Competencies (Knowledge, Skills, and Abilities Required):
Knowledge of: Medical terminology and disease process; Community resources; Insurance regulations
and requirements
Skill in: Work with multidisciplinary teams, outside resources, patientsfamiliessignificant others
Ability to: Establish an appropriate plan to safely discharge patients to the next level of care
Minimum Education and Experience Requirements:
Education:
Graduate from an accredited Masters of Social Work program required. Masters of Social Work required.
AND
Experience:
Minimum of 2 years hospital based social work experience.
Minimum Certifications, Registration or License Requirements:
Active LSW or LCSW required for New Jersey positions and preferred for Pennsylvania positions.
Additional Information
Other Functions (in addition to Essential Functions)
• Serves as a resource and provides counseling and intervention related to treatment decisions and end of
life care issues.
• Refers patientsignificant other to community based servicesresources to meet patient’s continuum of
care needs.
• Coordinates team andor family conferences when necessary to facilitate patient’s care progression.
• Provides psychosocial counseling and crisis interventions to patientssignificant others with needs.
Provides interventions in cases involving child abuseneglect, domestic violence, elder abuse and
institutional abuse. Provides intervention in cases involving guardianship, foster care, adoption,
psychiatric assessment and placement, Advance Directives (Center City), trauma and substance abuse.
• Facilitates completion of all placement related documentation in nursing home grants, applications, etc.
Completes referrals to options programs where appropriate.
• Documents in accordance with hospital and departmental requirements.
• Works with Case Managers in providing discharge planning services per departmental policies and
procedures in collaboration with the multidisciplinary team and patientfamily.
• Identifies patients and locates family andor next of kin.
• Educates patientssignificant others on the process for obtaining health insurance. Provides appropriate
documentsinformation to apply for welfare insurance.
• When necessary, initiates medical assistance application in a timely manner (Center City) or ensure
medical assistance application has been initiated by identified external agencies (excludes Center City).
Follows up with identified external service regarding application.
• Provides psychosocial assessment and intervention as well as documents in the electronic medical record
updates throughout patient’s hospitalization, discharge planning process and relevant post acute care
• Supervises field placement of MSW students.
• When appropriate, refer case to the Placement Official Social Worker to assist in obtaining placement for
the patient’s discharge (Center City and AbingtonLansdale).
• Precept and mentor new staff members to their role and department.
Weekend Tasks
• Facilitates and coordinates discharge plans for patient identified to leave on the weekend, including
homecarehospice services; transportation; postacute facility placements
• Perform assessments and develops relevant interventions specifically for trauma patients (Abington)
• Obtains relevant postacute authorizations
• Manages Livanta appeal determinations and if necessary address alternate discharge plans
• Provides updates to postacute facility liaisons regarding possible weekend discharges
• Reviews discharge orders to determine which patients can be transitioned to the next level of care that
day (JNE)
• Assist with completing relevant 302 paperwork, when necessary
• Documents updates for the week day staff per department procedures.
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Primary Location Address
3 Crescent Drive, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highestquality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21stcentury careers; and creating new knowledge through basicprogrammatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 notforprofit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a notforprofit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
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