Where

NCH
Naples, FL, United States

Description

JOB SUMMARY
The Hospital Social Worker (BSW) plays a crucial role in addressing the psychosocial needs of patients and their families, ensuring that they receive the necessary support and resources
during their hospital stay and beyond. This position requires a compassionate and detail oriented individual who demonstrates understanding and sensitivity of diverse cultural backgrounds. The successful candidate will be committed to improving outcomes for high risk populations by consulting the MSW and RN Case Managers, as needed. Enhances the overall patient experience, with a focus on mitigating the impact of social determinants of
health. This is a patient facing role with a strong focus on patient experience.
ESSENTIAL DUTIES AND RESPONSIBILITIES – Other duties may be assigned.
• Interviews patients/families to conduct a comprehensive psychosocial assessment to
identify patients' needs, strengths, and challenges.
• Collaborates with the healthcare team, focusing on addressing social, emotional, and
environmental factors affecting patient care.
• Facilitates complex patient care issues such as the need for a legal guardian, lack of U.S
citizenship, abuse/neglect, domestic violence, sexual assault, adoption,
uninsured/underinsured, behavioral health needs, homelessness, and end of life care.
• Facilitates family patient/family care conferences.
• Avoids discharge delays by formulating primary and back up discharge plans.
• Provides emotional support, counseling, and crisis intervention to patients and their
families assisting patients and their families with coping with illness, trauma,
hospitalization, and post-discharge needs.
• Assist patients and families in coping with illness, trauma, hospitalization, and post discharge needs.
• Coordinates with healthcare providers, including RN Case Managers, physicians, nurses,
therapists, and other social workers, to ensure holistic patient care.
• Facilitates referrals to community resources, social services, and other support systems.
• Ensures seamless transitions between levels of care, such as from hospital to home or long term care facilities.
• Collaborates with the healthcare team to develop and implement safe and effective
discharge plans.
• Educates patients and families about post-discharge care, available resources, and follow up care plans.
• Coordinates post-discharge services, such as home health care, rehabilitation, and
transportation.
• Advocates for patients' rights and access to necessary services and resources.
• Assists patients and families in navigating the healthcare system and accessing financial
assistance, insurance, and community resources.
• Maintains accurate and up-to-date documentation in EPIC of patient assessments, care plans, interventions, and outcomes.
• Responsible for addressing the impact of social determinants of health and connecting patients and their families with resources to support them in overcoming social and economic barriers to health.
• Develops strategies to address and mitigate the effects of social determinants of health on patient care.
• Serves as a patient advocate ensuring needs and preferences are addressed and respected.
• Identifies and removes barriers to progression of care, offering resources for barriers to
health care including financial, social, and logistical issues.
• Requires advanced knowledge of Medicare, Medicaid, and commercial payor guidelines.
• Participates in multidisciplinary rounds and provides input on patient’s discharge plan.
• Assures that financial counselors meet with self-pay patients to determine existence of third-party payer source or assist with development of self-pay strategies.
• Addresses and educates patients/families on Advanced Directives.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
• Bachelor of Social Work (BSW) degree from an accredited institution required.
• Must enroll in MSW program within 1 year of hire and complete MSW within 3 years of hire.
• Social work experience, preferably in a hospital or healthcare setting preferred.
• Experience in crisis intervention, discharge planning, and care coordination is highly desirable.

Apply

Attn: Mallory Kwak
E-mail: [email protected]

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