Job Posting: The Clinical Social Worker, Supportive Care Medicine /Palliative Care, is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for patients being followed by Supportive Care Medicine. Specifically, this position will be responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. The social worker is responsible for developing patient care goals and treatment plans, as agreed upon by the patient's care team. The SCM Clinical Social Worker is also available to physicians and other members of the multi-disciplinary care team as a consultant for those patients with complex psychosocial needs and advance care planning. ESSENTIAL JOB DUTIES:
Evaluate and implement, with the assistance of the program director and medical director, a high touch social service program for patients with psycho-social needs. Particular focus will be on seniors, catastrophic and chronically ill patients. Specifically:
Development: Social Service documentation tool/template in EMR for Palliative consults, family counseling and group sessions. IS reports for outcome measurement
Implementation: triage patients with the Supportive Care Medicine Team; assist in coordination of patient care delivery, including DPA/POLST; document pertinent information in the case management system and communicate to team.
Implement transitions of care between inpatient Supportive Care Medicine and continued outpatient follow up
Initiate team care conference to include patient, family and care providers
Evaluation: evaluate caseload daily and assess achievement of long and short term goals; modify goals with providers and care team based upon patient outcomes; compile and present statistics and reports relating to patient outcomes; document findings in the patients EMR
Communication: provide follow up and outcome communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc.
Act as social services liaison for the department, particularly in the areas of:
Palliative Care and Advance Care Planning discussions
Complex discharge planning
Referral to agencies which provide supportive services to fragile patients
Assist in arrangement of community resources (i.e. meals on wheels, transportation services, adult day care, and info-line)
Assist in long term planning for patients transitioning to an institutionalized setting
Provide alternatives for patients requiring specific services while lacking insurance coverage
Act as liaison to Population Health department in regard to chronic disease state management programs
Assist in the development and implementation of new policies and procedures for the department as they relate to high-risk patient populations and social service interventions.
Participate in advanced care planning initiatives
Performs other duties as assigned.
Qualification Requirements/Preferences: Education Certifications/Licensure Experience Physical Abilities MINIMUM JOB REQUIREMENTS/COMPETENCIES: This position requires a Masters in Social Work from an accredited school of social work, and current LCSW licensure, 2-5 years clinical social work experience including palliative or hospice care, and discharge planning, with experience in project management preferred. Candidate should also have knowledge of community resources and possess excellent assessment skills. Other requirements include the ability to exercise objectivity and good judgment relating to difficult and emotionally charged situations and the ability to interface effectively with patients, providers, management and employees of the organization as well as facilities and agencies in the community. This position requires an individual who is self-directed, responsible, able to work in diverse groups, and autonomous. PC and strong writing skills, ability to teach others and develop program materials required.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly comp...etitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.