Provides a comprehensive range of social work services to a variety of patients in a partial hospital setting. Acts as the primary contact with external providers and actively participates in each assigned patient's treatment plan. Is the primary individual responsible for patient discharge and aftercare planning.
Initial psychosocial assessments are accomplished within the first twenty-four (24) hours from admission or the next business day. Assessments, treatment plans and goals reflect integration and analysis of history and clinical observations. Plans are realistic, specific and goal oriented. Obstacles to plans or desirable outcome are identified. Assessment is completed through contacts with patients, families, outpatient providers, etc. Initial assessment and plans include adequate evaluation of living situation support networks, stressors and discharge planning. Treatment plan is routinely updated, reflecting any change in behavior or patient treatment goals.
Case Management/Utilization Review:
Screens all new assigned cases within twenty-four (24) hours or one business day, in order to assess patients' living situations and identify cases presenting disposition problems. Documents need for current level of care in progress notes, and actively seeks alternative levels of care as indicated by assessment. Actively identifies obstacles to achieving positive outcome, and works with the treatment teams, supervisors and managers to resolve the obstacles. Assists with utilization review procedures for the patients through accurate and thorough documentation on patient progress, and works to ensure that payor requirements are met to help obtain authorization for covered days. Coordinates discharge planning with patients, families and outside agencies as necessary, through individual and family meetings, telephone contacts and interagency conferences, to provide our patients' insurance providers with information pertaining to hospital level of care. The discharge planning interactions are documented in progress notes. Reviews/discusses discharge planning activities at team meetings, and documents these twice weekly at treatment plan updates. Attends multidisciplinary team meetings, and provides input to team members regarding psychosocial problems, overall treatment objectives, and treatment and discharge planning for each patient as reflected in written documentation.
Participates in educational and other activities that helps maintain clinical competency in areas of responsibility to ensure professional credentials. Attends and participates in staff meetings.Attends and participates in all mandatory in-services. Attends and participates in voluntary in-services. Assists with the unit orientation of new staff members. Maintains a record of educational activities. Provides the Human Resources Department with copies of any training, seminars or professional development programs attended.