Social Worker II/Palliative Medicine (days full time) Detroit Campus

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Behavioral Health
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1710766 Requisition #
GENERAL SUMMARY: 
  • The Social Worker ll is responsible for creating outcomes for the patient and family by managing complex psychosocial and economic co-morbidities. 
  • Provide education and consultation regarding resources, collaborate to develop a discharge plan and facilitate and monitor its implementation. 
  • Assist patient/family adjust to and cope with illness, diagnosis, treatment options and prognosis. 
  • Through advanced practice skills mobilizes resources to reduce risk, serves as a liaison between the hospital and the community. 
  • In addition offers crisis interventions to patient/family. 
PRINCIPAL DUTIES AND RESPONSIBILITIES: 
  • Psychosocial Assessment and Interventions 
    • On the basis of preliminary risk screening, assesses patients and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope. 
    • May appropriately document in ECIN or medical record those patients identified as high risk for readmission. 
    • Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs. 
    • Provides intervention in cases involving child abuse/neglect, domestic violence, elderly abuse, institutional abuse and sexual assault. 
    • Serves as a resource person and provides counseling and intervention related to treatment decisions and end-of-life issues. 
  • Complex Discharge Planning 
    • Participates in discharge planning activities for complex patients, in order to ensure a timely discharge and to provide appropriate linkage with post discharge care providers. 
    • Deals with families exhibiting complex family dynamics that impact directly on patient care and discharge. 
    • Communicates with the healthcare team regarding the discharge planning status of all patients referred by them. 
    • Assists RN Case Managers or appropriate team members with discharge planning activities as requested.
    • Provides consultation to RN Case Managers or appropriate team members when coordination with significant or intensive community resources is necessary to achieve desired treatment outcomes.
    • Receives referrals for complex patient problem resolution from RN Case Managers or care team members. 
    • Screens and coordinates referrals to the next level of care i.e.: SNF, LTAC, HHC, Hospice and Rehab. Validates discharge criteria for patient and families and notifies RN Case Managers of newly-identified resources or change in previously-identified resources. 
    • Educates patient/family and physician regarding post-acute options and addresses issues of choice. 
    • Identifies the need for and conducts family meetings that result in informed decisions and other outcomes. 
  • Patient and Family Support in Legally Complex Cases 
    • Provides intervention in child abuse/neglect, domestic violence, guardianship (temporary/ permanent), foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault. 
  • Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. 
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization.
  • Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system. 
  • Participates in care conferences and collaborative rounds. 
  • Actively participates in clinical performance improvement activities as assigned. 
  • May provide supervision of Social Worker Interns, MSWs with less than 4,000 hours of hospital experience, ensuring requirements mandated by the State of Michigan. Provides mentorship to all levels of social work in current social trends and practice.

Addendum for Palliative Care Social Worker ll

  • Provides counseling and education to help families talk to children about serious illness and death. Accesses and mobilizes community resources to meet the needs of children coping with the illness or death of a loved one.
  • Provides detailed counseling to assist in advance care planning and completing an advance directive.
  • Provides counseling to assist in completing a simple will.
  • Serves as a liaison for community based and home based palliative care.
  • Educates palliative medicine team members, fellows, and residents on the psychosocial aspects of palliative care through formal didactic presentations and informal teaching sessions.

EDUCATION/EXPERIENCE REQUIRED: 
  • Masters Degree in Social Work, required. 
  • More than 2 years’ social work or protective services experience, required. 
  • Working knowledge/experience in utilization management, managed care and payor issues, preferred. 
  • Experience in psychosocial and therapeutic counseling, 2 years, preferred. 
  • Ability to interview, assess, organize and problem solve. Ability to identify appropriate community resources on assigned caseload and to work collaboratively with patients, families, multidisciplinary team and community agencies to achieve desired patient outcomes. 
  • Possess interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues. Possess analytical, data management and PC skills. Exposure and/or experience in pre-acute and postacute care, as well as community resources. Ability to work independently, as well as to develop collaborative relationships with physicians, families, patients, interdisciplinary team and other community agencies. Ability to analyze, develop and manage change; to integrate Continuous Quality Improvement principles for service and organization work improvements.
  • Ability to work with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change. Demonstrate the ability to connect patients and families with necessary services, both inside and outside the HFHS. Maintain a current working knowledge of services available in the local community, particularly services available to patients with limited or non-existent payment resources. Must demonstrate patience and tact when dealing with patients, families and other staff. 
CERTIFICATIONS/LICENSURES REQUIRED: 
  • LMSW with clinical specialty or clinical/macro specialty licensure, required. 
  • ACM or CCMC certification, required.
  • Advanced Certified Hospice and Palliative Social Worker (ACHP-SW) certification required within 2 years of employment.

PREFERRED REQUIREMENTS:
  • Experience in cognitive and behavorial therapies preferred.

Overview

Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

care systems, is a national leader in clinical care, research and education.  The system includes

the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

network and many other health-related entities throughout southeast Michigan, providing a

full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

The health system also is a major economic driver in Michigan and employs more than 24,600

employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice.  Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life.  As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

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