at Sinai Health System in Chicago, Illinois, United States
Job Description
About Sinai Chicago
Located on Chicago’s West and Southwest Side, Sinai Chicago is comprised of Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Children’s Hospital, Sinai Community Institute, Sinai Medical Group, and Sinai Urban Health Institute. The entities of Sinai Chicago collectively deliver a full range of quality inpatient and outpatient services, as well as a large number of innovative, community-based health, research and social service programs. We focus our collective depth of expertise and passion to improve the health of the 1.5 million people who live in our diverse service area. With our team of dedicated caregivers, Sinai Chicago is committed to building stronger, healthier communities. A partner with the Jewish United Fund in serving our community Licensed Medical Social Worker General summary/basic purpose of job: In collaboration with the patient/family, case managers, physicians and interdisciplinary team, the social work provides complex discharge planning. The social worker is responsible to assist patients and families to identify the psycho social barriers that impact the discharge planning process. The Social Worker provides assessment, advocacy, education and information, referral and linkage, coordination, counseling and crisis intervention for assigned patients. Services are provided in the inpatient and outpatient settings. They work in conjunction with the multi-disciplinary team in order to develop a discharge plan that is safe and effective for the patient. General summary/basic purpose of job: Implementation and coordination of the transition of care needs under the direction of the Director of Case Management and Physician Advisor. Essential Functions and Duties:+ Completes assessment, evaluates information, develops and implements plans to meet the identified needs of the patient. This is done in collaboration with the patient/surrogate decision maker and the healthcare team.
+ Assists patients/significant others with understanding and following medical recommendations in order to restore the patient to their optimal level of functioning.
+ .Provides education, linkage, advocacy and coordination of community services in order to meet the patient’s needs.
+ Works with the health care team to further their understanding of the social and emotional factors that impact the discharge plan. Participates with the team to develop the care plan.
+ Provides education on an assistance with advance directives and end of life care planning.
+ Identifies and communicates with the team psycho social and economic issues that will impact the progression of care and transition to the next level of care.
+ Identifies and communicates with the team psycho social and economic issues that will impact the progression of care and transition to the next level of care.
+ Participates in multidisciplinary rounds providing recommendations for the next level of care based on input from the patient/decision maker.
+ Consults, assesses, refers and coordinates interventions in cases of suspected abuse or neglect for children, vulnerable adults, sexual assault and domestic violence victims.
+ Identifies, assesses and makes recommendations related to guardianship, adoption and other legal matters. Assists with locating and confirming legal surrogate decision makers.
+ Identifies potential high risk complications, including those that may result in readmission and/or barriers to discharge and addresses these with the patient and healthcare team.
+ Provides crisis intervention in the Emergency Department; including assessment, advocacy and intervention for trauma related patients and families.
+ Provides referral information and assistance with linkage to the outpatient setting, including but not limited to substance abuse, behavioral health, support groups, housing, medication and follow up care.
+ Coordinates and implements the complex discharge plan for high risk patients with post-care needs (i.e. SNF, LTAC, home health, DME, psychiatric setting, etc.).
+ Provides timely follow up evaluation and intervention of post discharge services in order to ensure continuity and adequacy of post discharge services.
+ Assumes additional duties as assigned.
Skills and Qualifications:+ Master’s degree in Social Work (MSW), Psychology, or related field, required.
+ Social services experience in a health care setting preferred.
+ Licensure by the State of Illinois as a Social Worker (LSW) or License Professional Counselor (LPC), required.
+ Licensure by the State of Illinois as a Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC), preferred.
+ Bilingual in English/Spanish, preferred.
Oncology Social worker primarily functions in the outpatient setting. Provides counselling and resources to patients and family
