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$5000.00 sign-on bonus

Requisition #629815

Location: 1717 Monument Street, Baltimore, MD

Shift:

Full time

Weekend Work Not Required

SUMMARY

In collaboration with patients/families, case managers, physicians and the interdisciplinary team, the Social Worker I provides direct psychosocial and practical care including social work assessments, problem identification, goal setting, behavioral intervention and implementation of care plans. The Social Worker collaborates with all disciplines to optimize patient outcomes; scope of services may include, but is not limited to: developing action plans to mitigate psycho-social barriers to discharge; complex post-acute care coordination; patient/family engagement and education; and employing clinical interventions (to address immediate needs.

ESSENTIAL FUNCTIONS

Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.

• Conducts screening on all patients in assignment area with positive indicators for social work consultation.
• Completes full psychosocial assessment and plan of care for patients and families who require intervention.
• Provides direct psychosocial care and transition planning for a full case load of patients in assigned area.
• Works in a collaborative practice model, facilitating care coordination with the multidisciplinary treatment team for care progression to optimize patient outcomes.
• Adheres to departmental and regulatory documentation standards and formulates clear descriptions of the problems, goals and interventions. Adheres to timely completion of medical record documentation.
• Maintains a current and productive network of referral resources. Seeks out local, regional and national community resources to meet patient need.
• Assists with resource referral, capacity determination, legal guardianships, adoptions, psychiatric referral, and assessment of abuse/neglect/IPV, end of life and charity care.
• Identifies need for and facilitates family meetings.
• Leads or participates in interdisciplinary rounds if applicable for assignment area and articulates social work role to the team members.
• Participates in quality improvement activities.
• Will be required to provide coverage during absences and vacancies.
• May serve on committees within the medical center and community.
• Provides on-call coverage as needed.
• May make home visits as required by assignment.
• Participates in supervision as mandated by COMAR regulations.
• Does not include clinical supervisory responsibility.