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The medical social worker is responsible for the implementation of standards of care for medical social work services.

DUTIES & RESPONSIBILITIES

Assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s).

Assesses the psychosocial status of patients related to the patient’s illness and environment and communicates findings to the registered nurse.

Carries out social evaluations and plans intervention based on evaluation findings.

Provides patient, caregiver, and family counseling. 

Providing services that are ordered by the physician as indicated in the plan of care.

Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care.

Assistsphysician and other teams members in understanding significant social and emotional factors related to health problems.

Prepares clinical noteson all patients referred to social work.

Provides information and referral services for Organization patients and families/caregivers regarding practical and environmental needs.

Provideseducationto patients or families/caregivers and community agencies.

Serves as liaison between patients or families/caregivers and community agencies.

Maintains collaborative relationships with Organization personnel to support patient care.

Maintains and develops contracts with public and private agencies as resources for patient and organization personnel.

Participates in the development of the total plan of care and case conferences as required.

Participates in discharge planning.

Supervises, as directed, any Social Worker Assistants(SWA’s). 

Participating in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training.

Other duties as delegated by the Director of Nursing /Supervisor.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed bythe employee of this job.  The employeemay be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS(Education, Experience, Knowledge, Skills & Abilities)

Must have a master’s or doctoral degree from a school of social work accredited by the Council on Social Work Education.

Minimum of one year'ssocial workexperience in health caresetting.

Experience in a home health care preferred.

Demonstrates good verbal and written communication, and organization skills.

Possesses and maintains current CPR certification.

The ability