NJDA Career Center
Licensed Social Worker
Banner Health
Job Summary Essential Functions Processes and facilitates the assessment with analysis of functional and psychological needs of the patient within the framework of his/her developmental stage, functional abilities, cultural milieu, and support network. Assessment of the relationship of the patient's medical needs to the patient's home situation, financial resources, and availability of community resources. Assessment of the social and emotional factors related to the patient's illness, need for care, response to treatment, and adjustment to care. Assessment includes: initial assessments, behavioral observations, test (MMSE, depression screening, substance abuse screening), resource identification - strength based, collection and analysis of information to determine an individuals treatment needs. Formulates a plan of intervention acceptable to the patient, family, and health care team. Facilitate adjustments to the plan of care when necessary to promote enhanced outcomes. Collaborates with all members of the healthcare team to develop, manage, and communicate patient needs and discharge plans. Documents all interventions in the patient medical record both timely and accurately including all elements of the transitional care plan to include the discharge plan. Provides advocacy, assistance, support, counseling and crisis intervention to patients and families. Facilitates hospital-sponsored support groups. Functions in a liaison role between the hospital and community in making community resources available to the patient and family. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of contemporary behavioral health and system theories relevant to health care, end of life dynamics, and interventions; grief and bereavement counseling, substance abuse identification and interventions, support of victims of abuse, neglect, or violence. Provides professional education to staff and community. Gather / assessing information, apply counseling and developmental theories, utilizing diagnostic frameworks, and engage in collaborative treatment planning. Minimum Qualifications
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