Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

Social Worker MSW Population Health

JOB CODE:20353

FLSA Exemption Status:Non-Exempt

SUMMARY (BASIC PURPOSE OF THE JOB)Assesses, diagnoses, intervenes with and plans for social work services related to patient and family bio-psycho-social needs and behaviors. Integrates assessment using information related to cultural, clinical, ethnic, age and other factors into plan of care in order to implement transition plans and treatments. Acts as active team member in the care management of patients with behavioral health, palliative care and socioeconomic needs. Coordinates the transition from post acute facilities to home with needed resources to achieve the desired outcome. Refers patients/families and care givers to appropriate resources regarding abuse/neglect/domestic violence, alcohol and substance abuse. Performs appropriate clinical interventions related to grief counseling, bereavement, adjustment, crisis intervention in order to support the care coordination and increase patient/family coping skills.MINIMUM REQUIREMENTS

Education: Master's degree in Social Work (MSW).

Experience: LCADC or one year of substance abuse experience in behavioral health/treatment.

Other Credentials: Social Worker - Licensed

Knowledge and Skills: Excellent communication,conflict management, organizational and planning skills

Special Training: Clinical training in a medical/clinical environment; knowledge of spreadsheet and word processing software.

Mental, Behavioral and Emotional Abilities:

Usual Work Day:8 Hours  

.ESSENTIAL FUNCTIONSUses culturally competent skills to assess individual patient needs and refers to appropriate professional staff when necessary. Identifies barriers and plans for intervention to overcome or lessen barriers to achieve outcome as evidenced by treatment plan.Documents in the clinical record appropriate interventions including assessments, plans, and referrals.Follows up on all referrals from the primary care provider for behavioral health, substance abuse treatment, end of life supportive care or other bio-social-psycho needs.Documents in clinical record all referrals and clinical interventions related to abuse, neglect, domestic violence, alcohol and substance abuse, crisis intervention. Performs educational sessions for health care team related to abuse/neglect issues and reporting of same. Documents staff interventions in clinical record.Advocates for appropriate services for all patients with payor and providers of post-acute care service, community services and other services in order to optimize patient outcome.Participates in staff development and performance improvement program activities to increase self knowledge, staff and colleague awareness of bio-psycho-social issues and functioning, improve departmental and systems design and funcitoning, and meet regulatory requirementsAttends and participates in regular departmental performance programs, staff meetings, and hospital wide committees to analyze and respond to issues significant to social work services and to identify opportuites for improvement.Assists in data collection and information gathering on patient care issues, program and systems analysis in order to comply with plan, do, check, act performance improvement standards of value based programs.If applicable, may participate and develop inpatient and community programs that benefit patient, families and staff. Implements support groups for specified disease processes or bio-psycho-social issues to assist community outreach and development. May perform follow up service as needed to measure clinical outcomes.Completes substance abuse assessment within 72 hours of patient admission and follows up with patients seen in the ED for SOD. Provides care based on the patient's treatment plan. Formulates programs/groups for treatment and rehabilitation of psychiatric patients with co-occurring substance abusePerforms other duties as assigned.PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Standing , Walking , Carry objects , Keyboard use/repetitive motion

Occasional physical demands include: Sitting , Climbing (e.g., stairs or ladders) , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities

Continuous physical demands include: Talk or Hear

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

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