· Social Services screen all patients with a length of stay of five days or longer for high risk criteria.
· Completes psychosocial assessment on patients who have social services consults/referrals within 72 hours of notification.
· Reads and follows hospital policies.
· Maintains knowledge of Medicare, Medicaid, and Social Security programs.
· Maintains current knowledge of local, state, and national resources.
· Coordinates referrals, follow-up and counseling for complex patients.
· Seeks and provides consultation about cases presenting problems and/or
experiencing significant deviations from the plan of care.
· Explores strategies to reduce length of stay and resource consumption, and implements
and documents the results in the electronic chart.
· Provides accurate, timely and complete documentation in electronic charting per policy.
· Conducts adult/child abuse assessments as needed.
· Applies CQI principles to collect, assess, and analyze outcome data.
· All communications are professional in appearance, reflect an appropriate analysis of the data, and contain conclusions and action plans when appropriate.
· Demonstrates critical thinking skills when making decisions.
· Attends weekly case management meetings and is prepared to discuss patient’s plan of
· Demonstrates well-developed interpersonal skills with patients, families, physicians, nursing colleagues, ancillary departments, and the case management team.
· Demonstrates appropriate delegation of tasks and duties to direct and coordinate patients’ progress through the system.
· Participates actively on committees and attends meetings as required.
· Prioritizes projects appropriately, and utilizes work time effectively.
· Sick and/or personal absences are minimal and without trends or emerging patterns.
· Willing to work a flexible schedule to meet the needs of the department. Social workers rotate being on call for hospital for a week at a time, 24hrs a day.
· Respects patient’s rights and maintains confidentiality following HIPPA guidelines.
· Demonstrates a working knowledge of Advanced Directives and serves as a patient advocate.
· Utilizes age specific criteria to interact with patients and families.
· Assumes responsibility for identifying and meeting own personal development.
· Participates in code 1000 disaster preparedness activities
· Enters discharge codes into the electronic record, monitors discharge codes in Affinity for accuracy and changes as necessary.
· Provides Important Message from Medicare letters to patients in a timely manner.