| Location | king city, CA |
JOB SUMMARY: The Social Worker MSW is responsible for assisting patients and their families with understanding and coping with the emotions and social effects brought on by changes in health status and care needs. Additionally, the Social Worker MSW coordinates with Discharge Planning to assist patients and families to make appropriate post-hospital plans for continuing health care needs. The Social Worker is also the liaison to the community and government referral agencies. The Social Worker MSW also provides social services to residents and families of Skilled Nursing Facility and Dialysis Unit.
PERFORMANCE DIMENSIONS AND TASKS
Essential Function
a. Designs and implements protocol to identify patient/family needs.
b. Coordinates screening protocols with other MMHS departments (i.e. Med-Surg/Swing, ER, Skilled Nursing, and Dialysis) so that patients are identified and referred.
a. Assesses patient/family within hospital 24 hours post referral. Other outpatient referrals according to policy and procedure of unit.
b. When Social Worker is absent, initial assessment is done by Social Service designee (Discharge Planning Nurse, Team Care Coordinator, and Unit Coordinator) within 24 hours of identification.
c. Implements system to ensure assessment is done and follow up on assessment done by Designee immediately upon return to MMHS.
a. Documents assessment and plan on appropriate forms.
b. Communicates plan to other MMHS personnel needed to follow through with plan.
c. Coordinates plan with all necessary outside agencies.
d. Provides all necessary information to patient/family.
a. Is an active member of necessary MMHS multidisciplinary committees and care planning group.
b. Attends pertinent community committee meetings as MMHS's representative.
c. Maintains appropriate professional affiliations.
Coordinates child abuse referrals.
Performance Improvement.
a. Develops and implements an ongoing departmental performance improvement program.
b. Program is congruent with the Hospital-wide program.
c. Program meets regulatory requirements.
d. Program is on going, pertinent and results in outcome analysis resulting in improved quality of care and services provided.
a. Maintains effective interdepartmental communications.
b. Provides at least yearly in-services to other MMHS personnel on identified areas of need.
c. Participates in New Employee education/orientation as requested.
d. Works to improve knowledge and expertise and to be current in areas of new ideas/changes.
e. Assists with the development and monitoring of Social Services operational budget.
SNF Responsibilities.
Assist in meeting the psychosocial needs of each resident, their families and significant others as appropriate or necessary in coping with the effects of illness, disability, treatment or stay in the facility. The specific services include, but are not limited to, the following:
a. Individual and family services designed to improve social functioning and reduce the psychosocial problems of residents.
b. Advocacy, in cooperation with other facility personnel of residents' rights.
c. Assistance to residents, their families, and others as necessary or appropriate, in finding and utilizing financial, legal, mental health, and other community resources.
d. Assistance in obtaining guardianship and conservatorship services for residents in need of such services.
e. Enable residents to have access to available community programs and services as needed.
a. Assessment of residents' psychosocial needs at admission and reviewed as needed and/or according to federal, State and Mee Memorial guidelines.
b. Assisting in the development of a multi-disciplinary plan of care for residents.
c. Participate as a member of the Interdisciplinary Care Plan Team. Assist with resident and family involvement in the Resident Care Plan Meetings.
d. Documentation in the resident's record in response to social service interventions.
e. Review and revise the resident's care plan at least quarterly.
Provide in-service education to the staff on the social and emotional needs of the residents and their families.
Utilizes the abilities of each resident to guide them to a self-determined style of life that provided a degree of satisfaction within the nursing and rehabilitation environment.
a. Maintains and utilizes a comprehensive community resource file to meet specific resident needs.
b. Support family members and significant others in their visitation of residents and comfort level with facility environment.
c. Co-ordinates Advance Directive follow-up as needed.
d. Coordinate with other members of the interdisciplinary team related to room changes.
e. Monitors theft and loss and grievance procedures.
f. Informs members of the Interdisciplinary Team when residents' experience a psychosocial change of condition.
g. Assist in discharge planning, transfers to alternate facilities if Mee Memorial unable to meet resident needs.
h. Promote positive relationships with community organizations to develop and maintain good consumer relations.
i. Assist with facilitating residents' concrete needs of glasses, dentures, hearing aids, and clothing as needed.
j. Participates as directed by the Case Management/Social Services Manager in the Mee Memorial Performance Program.
Dialysis Responsibilities
Assists patients to understand their rights and responsibilities, and guide them in managing the physical, mental, emotional, and financial demands of End Stage Renal Disease:
a. Manage Transplant List
b. Participates in Interdisciplinary Team meetings
c. Participates in Quality Assurance and Performance Improvement (QAPI) meetings.
d. Ensures Care Plans are accurate and updated.
e. Performs and documents depression screening.
f. Assists in setting up transportation for patients.
g. Sets up, leads, and documents patient/family care conferences as needed.
h. Identifies resources for patients/families.
QUALIFICATIONS
Education: Master's Degree in Social Work from Accredited program required.
Work Experience: 2 years' experience in an accredited acute care Hospital preferred.
Licensing Requirements: LCSW preferred.
Language Requirements: Bilingual (English/Spanish) preferred.
Physical Demands: Must be able to sit and stand/walk for up to eight hours or more per day. Must be able to lift and push between 10 and 50 pounds. Must be able to sue hands repetitively for six hours or more.
Special Demands: Knowledgeable about available resources in Monterey County. Ability to supervise and work
cooperatively with others. Must be able to delegate duties and maintains efficient standards of
operation.
DISCLAIMER: The preceding job description has been designed to indicate the general nature and level of work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.