Job Description

A Little More About What You Will be Doing

The Clinical Social Worker, MSW is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for corresponding Department/s. Is responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. Is responsible for developing patient care goals and treatment plans as agreed upon by the patient's care team. Is also available to physicians and nurse case managers as a consultant for those patients with complex psychosocial needs and advance care planning.

Evaluates and implements social service programs for patients with psycho/social issues focusing on seniors, catastrophic and chronically ill patientsDevelops social service documentation tool/templates in EMR for Social Work consults, family counseling and group sessions and IS reports for outcome measurementsPerforms triage for patients within corresponding team(s) and assists in coordinating patient care delivery, including DPA/POSLT and documents pertinent information in the case management systemImplements transitions of care between inpatient and continued outpatient follow up and vice versaInitiates team care conference to include patient, family and care providersEvaluates daily caseload and assess achievement of long and short term goals; Modifies goals with providers and care team based upon patient outcomesCompiles and presents statistics and reports relating to patient outcomes and document findings in the patients EMRFollows up on communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc.Acts as the social services liaison for the department, particularly in the areas of: Advance Care Planning discussions, Complex discharge planning, Biopsychosocial assessmentsRefers patients to agencies that provides supportive services optimizing patients health plan benefitsAssists in arranging community resources (i.e. meals on wheels, transportation services, adult day care, and info-line) and in the long term planning for patients transitioning to institutional settingProvides alternatives for patients requiring specific servicesActs as the liaison to Population Health department in regard to chronic disease state management programsAssists in the development and implementation of new policies and procedures for the departmentParticipates in advance care planning initiativesAttends ISP team rounds and participate in interdisciplinary collaborations. Assists in addressing recommendations from psychiatry and neuropsychology, including coordinating discharge to substance abuse treatment centers and mental health programsUtilizes clinical judgment in making recommendations that will assist in addressing psychosocial barriers to treatment and discharge planning, coordinates discharge to B&C/ALF for often complex cases and under-resourced patients

Qualifications

Education

Master’s Degree in Social Work required

Experience

2 years of Clinical Social Work experience, inpatient hospital experience preferred

Licenses/Certification

Licensed Clinical Social Worker (CA LCSW) preferred

Req ID : 1703
Working Title : Social Worker, MSW
Department : MNS ISP
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Services
Job Specialty : Social Work
Overtime Status : EXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $38.21 - $59.23