Interacts with patients, family members, healthcare professionals, and community and state agencies. The Social Worker serves as a liaison between the hospital and community agencies or facilities for the exchange of clinical and referral information. Identifies high risk patients from a psychosocial/financial perspective, assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources. Works collaboratively with the interdisciplinary team to ensure patient needs are met and care delivery is coordinated across the continuum. Resolves psychosocial patient care issues and develops and implements a complex patient transition/discharge plan.
MAJOR DUTIES AND RESPONSIBILTIES
Participates in the screening of participants and evaluates psychosocial surveys to ensure appropriate and successful group participation. Provides support in developing the skills necessary for integrating lifestyle changes into daily life. Participates in the interdisciplinary team development of a plan of care for each participant. Participates in the monitoring, documentation, and communication of the participant’s response to the interdisciplinary team plan of care. Monitors group support adherence for all participants and provides additional explanation of guidelines on an individual basis as needed. Assesses, plans and initiates patient plan of care. Facilitates and coordinates details of placement and actual discharge to appropriate agencies. Initiates and monitors completeness, accuracy and timeliness of all documentation. Provides documentation of initial assessments and reviewing of all referrals for accuracy and content prior to discharge. Reports potential risk or quality management. Escalates issues to resource as necessary to resolve barriers through appropriate administrative and medical channels.
COMPETENCIES AND SKILLS
Knowledge of behavioral treatment techniques and procedures; ability to assess, manage and ensure high quality behavioral therapy for diverse mental disorders.
Knowledge of theories and methodologies for psychological counseling; ability to conduct a planned counseling interaction and design a counseling process to facilitate clients' progress toward meeting counseling goals and objectives.
Knowledge of various tools and techniques for patient assessment and diagnosis; ability to explore and analyze reasons behind symptoms and generate resolutions according to available drugs, facilities and techniques.
Knowledge of and ability to coordinate the patient admissions process, from initial request for admission to final authorization.
Knowledge of principles and practices associated with the rights and responsibilities of patients and caregivers.
Knowledge of psychotherapeutic models, theories and methodologies; ability to implement psychotherapeutic programs based on the principles and procedures of mental health and related disciplines to increase an individual's sense of well-being.
Knowledge of social work competencies and maintaining knowledge of social work code of ethics.
Demonstrates ability to work independently with limited or no guidance and supervision.
Demonstrates advanced organizational skills necessary to schedule and prioritize complex projects and tasks.
Knowledge and understanding of the Health Insurance Portability and Accountability Act.
Minimum of 2 years Related work experience
Master's Degree in Social Work
WORKING CONDITIONS/PHYSCIAL DEMANDS
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.