Social Worker- Inpatient MSW- JPS Main

The Social Worker II – Inpatient is responsible for the progression and coordination of care in the delivery of discharge planning and social work services to inpatient and designated outpatient units on a referral basis. The Social Worker II – Inpatient collaborates with other members of the healthcare team to achieve case management department utilization, financial, quality, compliance and satisfaction outcomes for assigned patients. Responsibilities Conduct comprehensive psychosocial, functional, financial, healthcare support systems and discharge planning assessments. Conduct patient, family, and/or representative interviews to assess needs and identify individualized discharge plans that takes into consideration the requests of the patient, family and/or representative. Identify patients who require assistance with eligibility determination for social programs and funding sources and generates referrals as appropriate. Develop an individualized discharge plan based on the patient’s medical diagnosis, treatment plan, financial resources, psychosocial issues, outpatient healthcare support system, etc. Educate patient, family, and/or representative regarding post-acute options and ensures that the patient’s choices are incorporated into the discharge plan, when possible. Participate in interdisciplinary rounds to facilitate communication and ensure that a comprehensive, coordinated plan of care is developed and implemented. Provide brief supportive counseling to patients and families exhibiting complex family dynamics that directly impact patient care. Serve as a resource person and provide counseling and intervention related to treatment and end-of-life decisions; advocate for patient and family empowerment and independence to make autonomous health care decisions. Assist with the submission of guardianship applications, coordination of the process for orders of protective custody, and follow up on open APS and CPS cases. Identify the appropriate support system, options, and barriers associated with the discharge of the uninsured and undocumented patients while working with available support systems to transition the patient through the continuum of care. Provide education and referral information regarding JPS and community resources. Document each component of the case management process and related activities in the electronic medical record system according to departmental policies and procedures. Serve as an educational resource for physicians, nursing staff and others concerning case management strategies essential in meeting the organization’s quality, utilization, financial and customer satisfaction objectives. Assess for assignment to and make referrals for a Primary Care Physician that will assist in the assignment of a medical home; generate referrals to the Physician Advisor according to departmental policies and procedures. Perform other related job duties as assigned. Qualifications Required Education and Experience Master’s in Social Work from an accredited school of Social Work by the Council on Social Work Education. 1-3 plus years social work experience, including internship work, performing any combination of: coordinating patient discharge and continuity of care planning; diagnosing underlying psychosocial needs; conducting comprehensive psychosocial assessment of patients; conducting initial screenings and evaluations of patients and families; providing or making referrals for individual, family, and group psychotherapy; and/or promoting patient navigation services. Work experience must have been performed in an inpatient acute care, behavioral health, skilled nursing facility, long-term acute care, and/or outpatient setting such as home health, hospice, dialysis, etc. Required Licensure/Certification/Specialized Training Must have a current Licensed Medical Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) licensure from the Texas State Board of Social Work Examiners. Preferred Licensure/Certification American Case Management (ACM) Certification. Preferred Specialized Training 1 plus years’ experience using medical appropriateness criteria (InterQual or Milliman). Location 1500 S. Main Street Fort Worth, Texas, 76104 United States #J-18808-Ljbffr JPS Health Network