Responsibilities
- Provides Social Work Services in accordance with the Physician's plan of care.
- Demonstrates competency in the skills required by the care center.
- Performs accurate and comprehensive assessments.
- Ensures that changes in the patient's clinical status are communicated to other healthcare team members and the care center office staff in a timely manner (documented communication in the patient's record).
- Coordinates care planning and delivery with the physician, patient/ family, other healthcare team members to facilitate optimal patient outcomes.
- Provides medical social work interventions and treatment based on an ongoing patient assessment/ reassessment and in accordance with Physician orders.
- Educates the patient and family members and other team members on medical social work interventions and treatment plan.
- Performs care planning, transfer and discharge functions in accordance with care center policy and applicable laws, regulations and standards.
- Participates in interdisciplinary team conferences/ patient care conferences in accordance with care center policy.
- Develops, prepares and maintains individualized patient care progress records with accuracy, timeliness and according to policies. Submits accurate and timely documentation per care center policy.
- Identifies risks or threats to the patient's health in the patient's environment and promptly implements appropriate interventions to reduce risks. Communicates identification of risks/ threats to the patient to the Physician and other members of the healthcare team to coordinate care effectively.
- Maintains knowledge of community resources, identifying appropriate resources to meet patient and family needs to facilitate optimal outcomes.
- Keeps abreast of social work trends and knowledge.
- Adheres to all applicable laws, regulations and standards.
- Complies with the agency's policies.
- Participates in the agency's Quality Assessment Performance Improvement Program and activities.
- Participates in in-service programs and provides educational in-service programs to agency staff as requested.
- Performs other duties as assigned.
- Provides services under the supervision of a qualified social worker and:
- Has a baccalaureate degree in social work, psychology, sociology, or other field related to social work, and
- Has had at least 1 year of social work experience in a health care setting; or
- Has 2 years of appropriate experience as a social work assistant, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that the determinations of proficiency do not apply with respect to persons initially licensed by a state or seeking initial qualification as a social work assistant after December 31, 1977.



