Social Worker- Outpatient MSW- Days
JPS Health Network, Fort Worth, TX, United States
Overview
Job title: Social Worker- Outpatient MSW- Days. Location: John Peter Smith Hospital, Fort Worth, TX. Division: CLINICAL INTEGRATION. Employment Type: Full Time. Compensation Type: Hourly. Hours Worked: Mon-Fri 8-5. Job ID: 44158.
Job Summary
The Social Worker – Outpatient MSW assists patients and their family members by obtaining services or initiating referrals in an effort to eliminate personal or environmental barriers which may interfere with maximum benefits of health care. This job supports the provider and interdisciplinary team in facilitating and coordinating patient care through the continuum.
Essential Job Functions & Accountabilities
Performs psychosocial assessments to identify individualized needs and develops a plan to address each need that takes into consideration the requests of the patient/family. Makes referrals to the appropriate resources within the JPS Health Network and within the community.
Collaborates one-on-one, in huddles or team meetings with Providers, Nurse Case Managers and Patient Centered Medical Home (PCMH) staff focusing on identifying the needs of complex high-risk patients. (Not applicable to Post-Acute program).
Provides brief supportive counseling to patients and families exhibiting complex family dynamics directly impacting patient care.
Assists patients and families to cope with and manage life-changing diseases, death and dying, advanced directive education, disabilities, etc.
Supports patients and providers with reviewing and completing various eligibility forms for social programs, funding sources, durable medical equipment, etc.
Follows-ups with patients and families ensuring that services provided are helpful, appropriate, and adequate. Develops and sustains long-term working relationships with patients and families.
Aids with care coordination for patients with complex psychosocial needs including providing services in a variety of settings (i.e. PCMH, patient homes, hospitals and other health care locations). Local travel may be required to perform duties at multiple sites. (Travel is required while working under the Post Acute program).
Educates patients and families regarding various care options (i.e. home care, nursing home, hospice, etc.) and ensures that the patient’s choices are incorporated into the care coordination plan.
Documents each component of the case management process and related activities in the electronic medical record system according to departmental guidelines.
Assists with cost containment, short-term intervention, ambulatory and community-based care, and decentralization of services.
Works as a member of the interdisciplinary team as the patient advocate.
Complies with National Association of Social Workers (NASW) Code of Ethics and maintains legal and regulatory accountability.
Local travel may be required.
While working under the Post-Acute Program also performs the following: Attends multidisciplinary meetings held within SNF/IRF to determine care plan. Meetings will be held both in person and virtually as determined by the needs of the facility and patients in the program. Serves as a liaison between the Social Services Teams within the post-acute agencies to ensure smooth transitions for patients in the post-acute program. Provide coverage support to the JPS Care Management Outpatient team as needed.
Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
Qualifications
Required Qualifications
Master’s Degree in Social Work from a program accredited by the Council on Social Work Education.
2 plus years social work experience (including internship work) with one year in a health care setting.
Social Work licensure through the Texas State Board of Social Work Examiners.
BCLS may be obtained subsequent to hire.
Preferred Qualifications
Case Management Certification (ACM or CCM).
For Post-Acute Program Position: Experience working in the post-acute setting (hospice, home health, nursing home or inpatient rehabilitation hospital).
Location
1500 S. Main Street, Fort Worth, Texas, 76104, United States
#J-18808-Ljbffr
Job title: Social Worker- Outpatient MSW- Days. Location: John Peter Smith Hospital, Fort Worth, TX. Division: CLINICAL INTEGRATION. Employment Type: Full Time. Compensation Type: Hourly. Hours Worked: Mon-Fri 8-5. Job ID: 44158.
Job Summary
The Social Worker – Outpatient MSW assists patients and their family members by obtaining services or initiating referrals in an effort to eliminate personal or environmental barriers which may interfere with maximum benefits of health care. This job supports the provider and interdisciplinary team in facilitating and coordinating patient care through the continuum.
Essential Job Functions & Accountabilities
Performs psychosocial assessments to identify individualized needs and develops a plan to address each need that takes into consideration the requests of the patient/family. Makes referrals to the appropriate resources within the JPS Health Network and within the community.
Collaborates one-on-one, in huddles or team meetings with Providers, Nurse Case Managers and Patient Centered Medical Home (PCMH) staff focusing on identifying the needs of complex high-risk patients. (Not applicable to Post-Acute program).
Provides brief supportive counseling to patients and families exhibiting complex family dynamics directly impacting patient care.
Assists patients and families to cope with and manage life-changing diseases, death and dying, advanced directive education, disabilities, etc.
Supports patients and providers with reviewing and completing various eligibility forms for social programs, funding sources, durable medical equipment, etc.
Follows-ups with patients and families ensuring that services provided are helpful, appropriate, and adequate. Develops and sustains long-term working relationships with patients and families.
Aids with care coordination for patients with complex psychosocial needs including providing services in a variety of settings (i.e. PCMH, patient homes, hospitals and other health care locations). Local travel may be required to perform duties at multiple sites. (Travel is required while working under the Post Acute program).
Educates patients and families regarding various care options (i.e. home care, nursing home, hospice, etc.) and ensures that the patient’s choices are incorporated into the care coordination plan.
Documents each component of the case management process and related activities in the electronic medical record system according to departmental guidelines.
Assists with cost containment, short-term intervention, ambulatory and community-based care, and decentralization of services.
Works as a member of the interdisciplinary team as the patient advocate.
Complies with National Association of Social Workers (NASW) Code of Ethics and maintains legal and regulatory accountability.
Local travel may be required.
While working under the Post-Acute Program also performs the following: Attends multidisciplinary meetings held within SNF/IRF to determine care plan. Meetings will be held both in person and virtually as determined by the needs of the facility and patients in the program. Serves as a liaison between the Social Services Teams within the post-acute agencies to ensure smooth transitions for patients in the post-acute program. Provide coverage support to the JPS Care Management Outpatient team as needed.
Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.
Qualifications
Required Qualifications
Master’s Degree in Social Work from a program accredited by the Council on Social Work Education.
2 plus years social work experience (including internship work) with one year in a health care setting.
Social Work licensure through the Texas State Board of Social Work Examiners.
BCLS may be obtained subsequent to hire.
Preferred Qualifications
Case Management Certification (ACM or CCM).
For Post-Acute Program Position: Experience working in the post-acute setting (hospice, home health, nursing home or inpatient rehabilitation hospital).
Location
1500 S. Main Street, Fort Worth, Texas, 76104, United States
#J-18808-Ljbffr