Social Worker II-MSW - Main Campus - Full Time - Days

Primary Purpose: 

Provide comprehensive psychosocial services to patients and families at The Christ Hospital by assessing needs and developing individualized discharge plans to ensure continuity of care. This role includes delivering psychosocial interventions, advocating for patients, and connecting them with appropriate community resources.

ASSESSMENT/SCREENING

• Assess patients’ evolving medical situation from a psychosocial framework, including functional status, goals of care, and community support needs as it relates to discharge planning
• Assess family structure, dynamics, and decision-making preferences, including identification of a surrogate decision maker if needed
• Assess patient/family environmental risk factors, patient/family/community support systems, age-related/developmental issues, financial barriers, health literacy, chemical dependency/mental health, Social Determinants of Health needs, and any risk of abuse/neglect/financial exploitation/intimate partner violence
• Assess for risk of readmission, putting into place a coordinated plan for outpatient follow up

Documentation:

• Documents in Discharge Planning progress notes a clear, concise, objective psychosocial assessment, treatment plan, and progress of social work intervention and outcomes in compliance with regulatory standards and department standards for timeliness.
• Documents appropriately in the Social Work module for data tracking purposes