Social Worker - MSW HH

UPMC Home Health is hiring a Social Worker-MSW for the Tioga County and border of Potter and Bradford County areas. 

The Social Worker is responsible for providing complete psychosocial assessments, crisis intervention, individual, family, group, bereavement, and end-of-life counseling, and timely and appropriate discharge planning based on known or anticipated needs.

Responsibilities:

• Maintain extensive knowledge of federal, state, and local assistance programs and community resources that affect patient needs.
• Demonstrate the ability to identify, assess, counsel and effectively intervene with medically and psychosocially complex patients with the ability to understand complex dynamics related to the clinical situation.
• Acts as a mentor to social work students and/or serves as a field instructor to MSW students.
• Successfully utilize therapeutic counseling methods such as crisis intervention, psychosocial support, brief goal-directed therapy, CISM, and/or other appropriate therapeutic methods that may be appropriate to the clinical situation.
• Provides accurate, timely, and appropriate documentation of all social work interventions in the medical record per regulatory policies and procedures.
• Demonstrate appropriate professional practice, maintaining respect for confidentiality and freedom of choice as outlined by the Code of Ethics by the National Association of Social Workers as well as the State Board of Social Workers, Marriage and Family Therapists, and Professional Counselors.
• Complete a psychosocial assessment that includes social, economic, cultural, age-related, and behavioral factors, history of child, elder, or domestic abuse, prior psychiatric or substance abuse treatment, family and social support systems, and all other available resources as appropriate to the clinical situation.
• Continue to monitor and evaluate the plan of care, options, and available services throughout the healthcare setting to effectively meet the patient and family's needs. Reassess the plan of care as status changes or at a minimum of every 3 days.
• Educate and advocate for patients and families to enhance their ability to make informed decisions regarding medical care, discharge planning, advance directives, and end-of-life care including actively participating in the guardianship process when appropriate.
• Demonstrates expertise in accessing social systems by providing resource-specific information to patients and families, initiating contact with appropriate resources, and facilitating the patient/family's ability to accept referrals.
• Demonstrate a knowledge of reimbursement systems, the ability to educate patients and families regarding payer requirements/coverage for post-acute care services, and the ability to effectively advocate on behalf of the patient to obtain authorizations for continued care as appropriate.
• Collaborate effectively with the healthcare team, patients and families, and relevant community resources to develop and implement an individualized plan of care.