DUTIES: The Social Worker is an integral part of the hospital multidisciplinary team working with patients and their families and caregivers to assess patient and family psychosocial and discharge planning needs relevant to medical treatment. They provide crisis intervention, emotional support, resource information, discharge planning and legal reporting. The Social Worker's goals are: - To assess, plan and support patients to cope with social, emotional, economic and environmental problems. - To help patients maintain their independence in the community. - To work jointly with health care providers on social issues that may affect patients' health and well-being. - To screen and assess the psychosocial needs of the patient and family to develop communicate and implement an effective and comprehensive plan for psychosocial interventions. - To provide social work services to specialty areas within the hospital that require an MS for regulatory requirements. - To participate in daily multidisciplinary huddles in the unit assigned to discuss plan of care and discharge planning needs. - To proactively collaborate with Attending Physician, Nursing and Case Manager to develop and carry out appropriate discharge plan. - To coordinate transition of care needs such as homecare services, DME, and placements for nursing home, acute and sub-acute rehab facilities in a timely manner. - In coordination with Care Management Assistants, to process placement of patients in SNF, sub-acute and nursing homes through eDischarge and closing the case 24 hours post-discharge in the system. - To provide grief and bereavement counseling to patients, families and caregivers. Initiate and oversee guardianship referrals in collaboration with Risk Management Department. - To perform legal reports for suspected child abuse and elder abuse and domestic violence referrals. - To serve as liaison to Administration of Children Services (ACS) AND Adult Protective Services (APS). - To provide patient/family conferences and education as needed to ensure appropriate Length of Stay (LOS) and transition of care from hospital. - To refer patients to appropriate community resources. - To proactively prevent unnecessary admission by providing psychosocial interventions and assistance in the Ed and working closely with ED Case Managers as required by the organization. - To document clearly and concisely all interventions and relevant information on patient's medical record. - To take accountability for the Length of Stay (LOS) within their assigned unit. (DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION) QUALIFICATIONS: - New York State Licensed Social Worker (LCSW, LMSW). - Master's Degree in Social Science. - A minimum of three (3) years of social work experience. - A minimum of two (2) years of discharge planning. - Knowledge of Federal, State and TJC regulations. - Knowledge of Medicare, Medicaid and Managed Care. Additional Info: * Represents Location Pay for full-time appointees.*Please ensure you include the 5-digit Line Number and Job Title in the subject line and body of your email submission.Closing Date: Open Until Filled STATE UNIVERSITY OF NEW YORK IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Internal Number: 52792
About SUNY Downstate Medical Center
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.