Summary\:
Assess patients and families from a social work and case management perspective; complete necessary clinical documentation; provide education to patients/families regarding insurance coverage and community resources; make referrals to appropriate community agencies/resources; participate in interdisciplinary team process/collaborate with the interdisciplinary team to formulate treatment plans to maximize emotional, social and physical well-being.
Key Responsibilities\:
· Clinical social work assessments and MDS entries are completed within the timeframe established and include each assessment element established in the Clinical Social Work Scope of Practice guidelines.
· Case management/social work plan is developed collaboratively with the interdisciplinary team, patient and family to maximize health care responses, quality and cost effective outcomes, incorporating patient and family goals, expectations, and preferences into the development of the interdisciplinary plan of care
· Clinical reviews are submitted to third party payors/insurers in a timely manner
· Culturally competent care is displayed to identify the patient’s cultural needs and incorporate them in the development of the discharge plan.
· Patient education and support is provided to ensure a smooth transition from acute setting, through the SRN stay and transition to discharge using established standards.
· Additional department, organization, or network activities are completed per established objectives.
· Uphold Spaulding Rehab Network Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.
*Summary\:
Assess patients and families from a social work and case management perspective; complete necessary clinical documentation; provide education to patients/families regarding insurance coverage and community resources; make referrals to appropriate community agencies/resources; participate in interdisciplinary team process/collaborate with the interdisciplinary team to formulate treatment plans to maximize emotional, social and physical well-being.
Key Responsibilities\:
· Clinical social work assessments and MDS entries are completed within the timeframe established and include each assessment element established in the Clinical Social Work Scope of Practice guidelines.
· Case management/social work plan is developed collaboratively with the interdisciplinary team, patient and family to maximize health care responses, quality and cost effective outcomes, incorporating patient and family goals, expectations, and preferences into the development of the interdisciplinary plan of care
· Clinical reviews are submitted to third party payors/insurers in a timely manner
· Culturally competent care is displayed to identify the patient’s cultural needs and incorporate them in the development of the discharge plan.
· Patient education and support is provided to ensure a smooth transition from acute setting, through the SRN stay and transition to discharge using established standards.
· Additional department, organization, or network activities are completed per established objectives.
· Uphold Spaulding Rehab Network Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.
*Licensure
Required
Current Massachusetts license as LCSW/LICSW
Skills
· Knowledge of community services and the healthcare systems required.
· Knowledge of criteria and levels of care is desirable.
· Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
Preferred
· Highly developed communications and interpersonal skills, working with diverse population.
· Work independently, be self-directed and contribute as a member of a team.
· Anticipates challenges and develops and implements strategies for addressing them.
· High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
· Attention to detail.
*Licensure
Required
Current Massachusetts license as LCSW/LICSW
Skills
· Knowledge of community services and the healthcare systems required.
· Knowledge of criteria and levels of care is desirable.
· Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
Preferred
· Highly developed communications and interpersonal skills, working with diverse population.
· Work independently, be self-directed and contribute as a member of a team.
· Anticipates challenges and develops and implements strategies for addressing them.
· High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
· Attention to detail.
*Spaulding Rehabilitation is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
*Spaulding Rehabilitation is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.