Social Worker (LSW, LCSW, LICSW) - South Shore VNA

Job Description Summary

Under the direction of the Clinical Manager, the Clinical Social Worker provides direct service to patients and their families. This includes counseling and the seeking of resources to answer unmet needs. The Clinical Social Worker also provides consultation services and inservice education programs related to the psychosocial aspects of health care to other professional staff members in the health care team.

Job Description

1. SCHEDULING
Completes weekly schedule and makes home visits to provide individual and family counseling and/or short-term therapy, as needed. Schedules and prioritizes social work visits according to client acuity and in accordance with the organization's emergency preparedness plan.

2. ASSESSMENT/DOCUMENTATION EVALUATION VISIT
For each admission to caseload, develops an individualized and holistic plan of care for the patient in collaboration with the patient/family/caregiver. Performs psychosocial assessment to determine social work needs.

3. REASSESSMENT/VISIT DOCUMENTATION
For each visit, demonstrates the skills and judgment necessary to implement the plan of care, social work interventions, and procedures necessary for the skilled care of the patient, as evidenced by chart review and observation.
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4. DISCHARGE/DOCUMENTATION DISCHARGE
For each discharge, documentation demonstrates improvement in outcomes or applicable variances are identified. Patients are appropriately prepared for discharge and all disciplines involved in the care of the patient are in agreement with plan. Ensure patient/caregiver have information necessary to remain in the community.

5. CASEMANAGEMENT
The Social Worker demonstrates responsibility and accountability for the coordinating the plan of care for each patient on caseload. The patient /Care Plan Partner is involved and participates in the plan of care. The Social Worker communicates all patient/family situations that may impact the plan of care.

6. TECHNOLOGY
Demonstrates clinical proficiency and competency in agency/program automated clinical record.

7. PROFESSIONAL DEVELOPMENT
Responds to and participates in opportunities to maintain, enhance, and promote the image of the social worker.

8. SAFETY AWARENESS
Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. Complies with current hand hygiene guidelines.

9. EDUCATOR
Responds to and participates in opportunities to teach, learn, and influence others. Uses current teaching techniques to educate patient/families as needed.

10. ADVANCED CLINICAL SKILLS/ADVANCED CLINICAL KNOWLEDGE
Responds to and participates in opportunities to demonstrate the use of individual advance clinical skills and advance clinical knowledge. Assumes overall responsibility for own professional development by incorporating knowledge of evidence-based practice and research into clinical practice

Minimum Education - Preferred
A Master’s Degree in Social Casework from an accredited Graduate School of Social Work, as defined by the Council on Social Work Education preferred.

Minimum Work Experience
Three (3) to five (5) years of social work and medical geriatric and/or home care experience. Crisis intervention, brief solution focused therapy and knowledge of community resources required. Managed Care experience a plus.

Licensed Social Worker "OR" Licensed Certified Social Worker "OR" Licensed Independent Clinical Social Worker

Ability to read, write and speak English. Knowledge of Community Resources. Knowledge of Mental Health practice preferred.