LCSW III SMSHCC

We are so glad you are interested in joining Sutter Health!

Organization:

SEBMF-East Bay Medical Foundation

Position Overview:

Provides biopsychosocial assessment, crisis intervention, short term counseling, linkage with resources and planning for transitions of care for patients and their families/significant others of all ages, in any patient care setting. Provides psycho-education and may facilitate support groups. Provides consultation on psychosocial aspects of care as a member of the interdisciplinary treatment team; serves as a liaison to community programs; assists and collaborates with multidisciplinary team on discharge planning; and practices independently. Provides patients with support in adjustment to illness and facilitates goals of care conversations with patients and families. May provide education to staff and other hospital departments and participate on committees.

Job Description:

• Timely gathers appropriate data and formulates relevant assessment of patient and family’s medical, social, and emotional situations using effective interviewing techniques, direct observation, consultation with healthcare team, and review of the medical record.
• Establishes and periodically revises the plan of care on the basis of ongoing psychosocial assessment of patient/family's concerns, strengths, needs, clinical impressions, and issues specific to spiritual and cultural values.
• Appropriately gathers data reflective of the patient's and family's developmental stages and incorporates data into assessment and plan of care.
• Appropriately assesses for discharge planning resources.
• Appropriately assesses suspected situations of abuse and/or neglect.

PROVIDES DIRECT CLINICAL SERVICES, WHICH MAY INCLUDE DISCHARGE PLANNING/TRANSITIONS OF CARE, INDIVIDUAL AND FAMILY COUNSELING, CRISIS INTERVENTION, FACILITATING EDUCATION AND SUPPORT GROUPS AND LINKAGE WITH RESOURCES TO PATIENTS, FAMILIES, AND STAFF AS INDICATED BY BIOPSYCHOSOCIAL ASSESSMENT AND PLAN OF CARE.

• Establishes therapeutic relationship while recognizing diverse cultural norms and spiritual values.
• Communicates effectively to empower patients/family’s to develop productive coping mechanisms, behaviors and thought processes.
• Identifies and effectively addresses resistance and conflict in work with patients. Intervenes to decrease tension and assist patient in evaluating non-productive behaviors.
• Demonstrates self-awareness by recognizing and monitoring personal values, boundaries, sensitivities and emotions to effectively intervene with the patient/family.
• Provides psycho-education to patient/family related to health literacy, transitions of care, and community resources.
• Provides education to interdisciplinary staff regarding high-risk and psychosocial aspects impacting patients/family.
• Identifies and provides linkage to community resources.
• Coordinates discharge planning/transition of care by providing resources and initiating referrals to appropriate agencies as needed.

ADVOCATES ON BEHALF OF PATIENTS AND FAMILIES FOR SERVICES, ACCESS TO CARE, AND FOR THE PROTECTION OF THE PATIENT’S SAFETY AND RIGHTS.

• Promotes the patient’s right to self-determination. Assists the healthcare team in understanding the patient’s perspective.
• Advocates for culturally and linguistically competent care.
• Assists in identifying ethical issues, utilizes the chain of command and/or refer to the Bioethics Committee.
• Appropriately intervenes in situations of suspected abuse and/or neglect.
• Advocates to address psychosocial barriers that impact transitions of care.

DOCUMENTS IN THE PATIENT MEDICAL RECORD AND OTHER HOSPITAL/ DEPARTMENT RECORDS IN AN ACCURATE, CONCISE, AND TIMELY MANNER.

• Maintains accurate, current, patient records using approved forms and format.
• Documents all assessments, plans, interventions, patient/family involvement, outside agency communication, interdisciplinary contacts and case closure according to social work and patient care area standards.
• Complies with all documentation and reporting requirements for risk management, mandated reporting and other medical/legal situations, in a manner consistent with confidentiality regulations and department standards.
• Submits patient billing forms (outpatient programs), administrative forms, and other information requests or reports to the department, other departments, and community agencies in a complete, accurate and timely manner.

ESTABLISHES AND MAINTAINS POSITIVE, EFFECTIVE RELATIONSHIPS WITH OTHER HOSPITAL DEPARTMENTS, MEDICAL STAFF AND COMMUNITY REPRESENTATIVES.

• Interprets clinical findings, promptly communicates assessment and plan of care updates. Collaborates with healthcare team and agency representatives, adhering to confidentiality guideline