Clinical Social Worker II

Overview

Provides clinical social work services related to patients? and family members? current and post-acute psychosocial and clinical needs. Completes psychosocial assessments; provides crisis intervention, emotional support, and short-term counseling with regard to diagnosis, treatment, and post-discharge plan; and creatively identifies and accesses resources to optimize effective and efficient patient care outcomes in collaboration with other members of the multi-disciplinary team.Serves patients with acute episodes of severe and persistent mental illness and/or patients with new onset psychiatric and mental health needs. Utilizes principles of individual, group and family therapy theories. (Behavioral Health)

Responsibilities

Completes psychosocial assessments. Identifies patients for whom Clinical Social Work services would be beneficial. Completes and documents assessments using departmental procedures and within required timeframes. Obtains information about patient clinical status through collaboration with healthcare team and incorporates into assessment process. Identifies and applies information about patient health behaviors, cultural influences, and belief or value system. Identifies, addresses, and re-assesses based upon potential barriers to plan and works with healthcare team to address. Provides clinical social work services to patients with acute psychiatric and mental health needs. Identifies the patient personal goals for hospitalization and discharge planning and applies information about patient health behaviors, cultural influences, and belief or value system. Proactively seeks input from other members of the multidisciplinary team and identifies, facilitates and delivers appropriate clinical and psychosocial interventions accordingly. Identifies, addresses, and re-assesses based upon actual or potential barriers to treatment and/or discharge plan and works with healthcare team to address. Documents the patient clinical status, plan of care and discharge plan according to CH and BHH policies and/or expectations of regulatory bodies. (Behavioral Health). (Inpatient Rehab - 25%) --------------------------------------------------Facilitates healthcare delivery process/coordinates care planning. Anticipates patients and families discharge needs, developing and implementing plans of care which enhance quality, access, and cost-effective outcomes, and identifying and addressing barriers to progression, in a timely manner. Creatively identifies and links patients to appropriate organizational, financial and community resources in order to achieve optimal outcomes and compliance with regulatory agency requirements. Works with departmental leadership to identify the need for and develop resources to achieve optimal outcomes. Anticipates the acute psychiatric and mental health needs of patients and family members related to the diagnosis and treatment. Provides crisis intervention, emotional support and short-term therapeutic individual, family, and group counseling. Provides clinically relevant and engaging treatment according to best practice models. Educates others on the healthcare team about the crisis when the disease/hospitalization/discharge plan is impacted and according to regulations governing confidentiality. Analyzes and documents group process. Identifies and recommends patients for family sessions and ensures family sessions occur in a timely and effective manner. Communicates patients needs and prognosis to family members. (Behavioral Health)--------------------------------------------------Addresses complex clinical issues. Anticipates complex psychosocial or clinical issues or behaviors creating or contributing to non-compliance, over-utilization of resources, and/or readmissions. Develops and implements plans of care which enhance quality, access, and cost-effective outcomes. Evaluates and updates patient progress and identifies and addresses barriers to progression in a timely manner. Ensures patient participation in the treatment planning process. Creatively works with departmental and organizational leadership and Physician Advisor to address these issues in order to achieve optimal outcomes and compliance with regulatory agency requirements. Anticipates the acute psychiatric and mental health needs of patients and family members related to the hospitalization and discharge plan; develops and implements plans of care which enhance quality, access, and cost-effective outcomes. Evaluates and updates patient progress and identifies and addresses barriers to progression in a timely manner. Effectively communicates patient progress in groups and family sessions. Ensures patient participation in the treatment planning process. Creatively identifies and links patients to appropriate organizational, financial and community resources in order to achieve optimal outcomes and compliance with regulatory agency requirements. (Behav