General Summary

Under general oversight, functions as a member of the multidisciplinary healthcare team to provide case management, crisis intervention, biopsychosocial assessments, counseling, referral, treatment/discharge planning, and other general social work services to target the diverse psychosocial and emotional needs of patients, families, and groups in their practice area.

Principal Responsibilities and Tasks

The following statements describe the general work performed in this role. It is not an exhaustive list of all duties that may be performed.

1. Interviews patients to assess functional level according to professional standards. Completes psychosocial & screening tools with direct supervision. Assesses safety risks as a means of determining appropriate disposition for patients.
2. Develops a plan of care and treatment/discharge plans that are reviewed with the interdisciplinary team or supervisor.
3. Provides timely and appropriate crisis intervention services & proactively utilizes de-escalation strategies with patients.
4. Evaluates patient's social determinants of health and methods used within the practice settings to improve quality of care. Seeks feedback to assess their individual work and assure ethical standards. Evaluates patient's progress toward established goals.
5. Provides preventive, protective, or supportive services to patients and/or families. Completes mandatory reporting for patients who are in or who are threatened by situations detrimental to their well-being.
6. Maintains working knowledge of relevant medical/legal issues that impact on patient care. Coordinates and documents appropriate referrals/linkages and keeps the patient, family, and care team informed of referrals made.
7. Provides patients and family members with counseling regarding coping techniques for illness and care planning. Creates a theoretically grounded therapeutic framework for effective problem solving with patient and family.
8. Receives clinical feedback of assessments, planning, interventions, and overall plan of care.
9. Conducts individual and/or group education sessions to assist patients/families in addressing and managing healthcare conditions.
10. Advocates for patients and their practice area, to explore strategies that reduce resource consumption and provide efficient care.
11. Recognizes and identifies systematic challenges impacting individual patients and the impact to their health, well-being, and access to care.
12. Documents all work in a timely manner pertaining to the care setting or required by regulatory standards. Only discloses information necessarily with an ROI. Notifies patients of their informed consent for treatment, as applicable. Maintains privacy and security of all confidential and protected health information.
13. Completes all specific job tasks within their assigned department as outlined by supervisor.