LCSW - Pediatrics and Population Health

SUMMARY

The Licensed Clinical Social Worker provides psycho-social support to Behavioral Health, Population Health and Endocrine patients, to facilitate coordination of social services to complement patient care, and to support the medical team in clarification of the goals of care and the plan of care. In addition to ensuring excellent patient care services, the Social Worker will coordinate educational and outreach services, participate in quality improvement initiatives, and promote collaboration with other hospital/clinic departments and with outpatient and community services, including service as a liaison with county mental health resources and insurance affiliated case managers to ensure optimized care coordination and resource allocation to meet patient needs throughout the continuum of care.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Includes but not limited to the following:

• Demonstrates the ability to treat common mental health problems and emotional difficulties, including anxiety disorders and depression, impact of trauma, medical illness or loss.
• Participates in group consultations and trainings.
• Collaborates with health professionals from other SVH clinics.
• Complies with clinic standards for timely submission, accuracy and completeness of documentation in the EMR and collects all require statistical data.
• Supports and maintains a culture of safety and quality.
• Attends department, hospital and community in-services related to the field of practice.
• Participates in quality improvement activities and program planning for the clinic, hospital and service lines.
• Assesses and documents patient and/or family psychosocial issues.
• Treats patients and family with respect and dignity. Maintains appropriate patient satisfaction scores.
• Works closely with all members of the healthcare team in development of the Plan of Treatment, including discharge plans, based on the psychosocial assessment and accepted social work interventions.
• Develops and maintains thorough knowledge of referral resources throughout the service area
• Maintains up to date knowledge of Medicare, Medicaid and other third-party reimbursement sources.
• Provides positive customer relations in dealing with patients, families, physicians, member of the healthcare team, referral sources, services agencies and others.
• Adheres to all department/facility policies.
• Must behave ethically and professionally.
• Other duties as assigned

Population Health Support

• Review and prioritize incoming referrals. Assess patient needs, crisis intervention, and situations to determine goals and/or resolve crises.
• Connects patients to community resources and helps patients develop/improve their social/behavioral skill set with the goal of reducing preventable inpatient and emergency department visits
• Collaborates with other professionals to assess client needs or plan treatments.
• Weekly follow up calls to support patients or more as needed.

CCS Endocrine Support

• Conducts psychosocial assessment of the CCS program client and caregivers on initial visit and at least annually, and when there are major changes in psychosocial factors affecting a client and/or the family.
• Develops social work plans with the family/caregivers and clients.
• Ensures that assessments and plan of care are documented in chart and are accessible to other team members.
• Plans for the transition of youth to adult services by the age of 14, including sources of medical, vocational, financial and support services and safety planning for youth with disabilities.
• Participates in quality assurance and community improvement as they relate to social work services or needs of clients and families serviced by the SCC.
• Contributes to the development of written policies, procedures or guidelines related to social work services in SCC.

EDUCATION and/or EXPERIENCE

• Have a master's degree in social work from a school accredited by the Council on Social Work Education and five years of full-time social work experience that shall include:
  • Three years' experience in all aspects of social services and discharge planning preferred
  • Be licensed as a clinical social worker by the California Board of Behavioral Sciences
  • Be paneled by the state to meet CCS requirements within the first 12 months of employment
• Minimum of two years of experience working with children.

QUALIFICATIONS

• Knowledge and abilities essential to the successful performance of the duties assigned to the position
• Demonstrates resourcefulness, effective written and oral communication, diplomacy, organizational, and analytic skills.
• Self-directed, assertive and creative in problem solving, systems planning and patient care management in a high-volume work environment.
• Must be capable of working with diverse populations.
• Must have emotional resilience and stability since the work often involves dealing with crises.
• Must be knowledgeable about caring for patients at various developmental stages throughout the life cycle.