CLINICAl SOCIAL WORKER /40 HOURS / DAY SHIF / BWH-CARE COORDINATION DIALYSIS

Brigham and Women's Hospital Boston, MA
GENERAL SUMMARY

The Clinical Social Worker (LCSW) is a key member of the interdisciplinary team who provides and oversees the provision of psychosocial care for selected patients and families. Conducts bio-psychosocial assessments, provides intervention and treatment as indicated. Identifies high‑risk psychosocial factors of patients/families that impact health status and helps hospital staff understand the influence of those factors upon the course of medical care. Assumes clinical evaluation, intervention and planning for patients with complex psychosocial risk (homelessness, protective services, frail elderly, disabled, psychiatric and substance abuse, etc.). Works effectively as part of interdisciplinary health care teams. Provides clinical services to patients/families that address psychosocial, environmental, age-specific and cultural issues in order to maximize emotional, social and physical wellbeing and the effective use of health care and community resources. Collaborates with and provides social work consultation to other disciplines within the setting and community. Participates on Departmental, Hospital, Satellite, community task forces and committees.

The Clinical Social Worker reports directly to the assigned Social Work Manager.

PRINCIPAL DUTIES AND RESPONSIBILITIES

Clinical Practice:

Provides assessment of patients to evaluate mental health/psychiatric history/emotional issues/coping style, understanding of illness/adjustment/compliance, barriers to care, cultural issues, abuse/neglect and domestic violence.

Provides psychosocial assessment of families to determine family relationships/systems as they relate to care of the patient. Identifies family decision makers and caregivers; family understanding of illness and trajectory of care. Identifies family coping style, family resources and cultural issues.

Employs a range of clinical interventions such as individual, group or family counseling. Provides caregiver/family counseling/support to promote family cohesiveness to provide care to patient and prepare families for end of life. Advocates on behalf of patients and families to gain access to services and resources. Refers patients to other providers, as necessary.

Develops comprehensive bio-psychosocial assessments responsive to age appropriate and cultural needs and concerns. Employs a range of clinical interventions such as psychotherapy (individual, couples, families, and group), psychosocial counseling, crisis intervention, care coordination, complementary therapies, information and referral and safety planning. Advocates on behalf of patients and families to gain access to services and resources.

Provides mandated assessments when abuse is suspected (child, disabled adult, elder) and safety assessment when domestic violence is reported. Files reports as indicated.

Identifies patients' psychosocial, financial, legal, psychiatric or substance use that effect patient care management and collaborates with the team to facilitate patient care process.

Works effectively as part of the interdisciplinary health care team, communicating regularly with the team and other members on cases and as issues arise. Documents timely and relevant information.

Coordinates family/team meetings, as needed and when appropriate. Provides psychosocial consultation on patient care planning and patient/family management and community resources. Implements psychosocial programs based on patient/family identified needs.

Facilitates the appropriate and efficient use of hospital and community resources.

Participates in formal and informal clinical case reviews, clinical supervision, educational seminars and research projects.

Quality, Utilization Management: High Risk Psychosocial

Intervenes with appropriate individuals/departments/agencies regarding delays in service that may have an impact on quality of patient care, length of stay or inappropriate patient admissions.

Reviews patient information for assigned caseload, determines anticipated length of stay and psychosocial barriers to plan of care transitions discharge plan in collaboration with the Nurse Care Coordinator.

Interacts with home care, community agencies and facilities to ensure safe and timely patient care transitions

Negotiates with care coordination team follow‑up contact with patient/family, community agency or facility to evaluate the effectiveness of the patient care transitions and identifies problems in service delivery.

Ensures coordination of the communication process with patient/family concerning the plan of care, including coordination of family meetings and warm handoffs.

Ensures that patient/family is involved in all phases of the care process to the greatest extent possible.

Maintains current knowledge of and identifies needs in service delivery within social, governmental, protective services and legal agencies.

Participates in data collection for departmental quality assessment activities in collaboration with the care coordination department.

Participates in quality assessment/improvement activities designed to evaluate the appropriateness and effectiveness of the service delivery system in which care coordination operates.

Ensures that the patient and family receive consistent information regarding all aspects of care.

Communicates and collaborates with the Social Work Manager/Team to ensure efficient and quality patient care and equitable caseloads.

Leadership, Teaching and Education:

Assesses patient/family learning needs, styles and readiness. Educates patients/families based on treatment plan, identifies barriers to care, diversity issues and learning styles.

Mentors and may supervise students and staff. May teach in Departmental and Hospital seminars, workshops and rounds.

Demonstrates expert social work clinical practice within the department and with interdisciplinary staff. Provides education and consultation to interdisciplinary health care providers, social work staff and community on psychosocial issues for patients.

Demonstrates active, ongoing commitment to professional growth and development of self and creates an environment conducive to the professional growth of others.

Participates in Departmental and Hospital committees. May participate in social work research.

Organizational/Administrative:

Takes responsibility for own administrative duties, including timely and appropriate documentation in patient medical records, timely and accurate daily reporting of activities and Hospital's scheduling systems, and accurate reporting of time worked.

Provides clinical documentation including psychosocial assessment, progress notes, and billing compliance (if appropriate).

Attends and participates in Staff Meetings and interdisciplinary meetings/rounds.

Professional Conduct:

Adheres to and fosters compliance with NASW Code of Ethics, and Department and Hospital clinical, quality, compliance and safety standards, policies and procedures.

Supervisory:

N/A

Fiscal:

Meets Department productivity and standards. Ambulatory staff, ED and ED on-call are responsible for billable hours.

Hospital-Wide Responsibility:

Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners; follows safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners, as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.

Education: Master's of Social Work Degree from an accredited program required.

Licensure: Current Massachusetts Licensed Clinical Social Worker (LCSW) required.

Experience: Previous clinical social work experience in a hospital setting preferred.

Bilingual (English/Spanish) preferred.

For employment as Clinical Social Worker, LCSW, at the BWH Department of Social Work:

* Employment as a Clinical Social Worker, LCSW, is contingent upon passing the LICSW exam. The Clinical Social Worker is required to take the exam within two months of eligibility and will be allowed up to two attempts within a six month period to successfully attain LICSW.

* Failure to pass the LICSW exam (after two attempts in a six month period) will result in termination of employment.

* Individuals who fail to attain LICSW may apply for other vacant positions and will be considered for rehire according to the job requirements.

COMPETENCIES

The Clinical Social Worker (LCSW) is expected to demonstrate the following:

* An understanding of, and comfort working with patients of all ages who suffer complex medical and psychiatric problems; the ability to work with the families of such patients, and the ability to help such patients and families understand and access the resources required to support care

* Ability to provide rapid clinical psychosocial assessments and brief, short and/or long term treatment/management plans with individuals, families, couples and/or groups

* Advanced crisis intervention/treatment/management skills

* Strong assessment, crisis intervention and treatment skills

* Differential diagnosis and treatment with all modalities

* Competence in abuse/neglect/violence, trauma, grief loss and bereavement

* Cultural sensitivity and demonstrated competency in age specific behaviors

* Knowledge of specific medical/psychiatric illnesses, procedures and treatments

* Strong understanding of psychiatric and family system problems, and ability to use this understanding to formulate succinct case summaries

* Appropriate and effective application of knowledge of community agencies/resources

* Ability to advocate/negotiate systems for/with patients and families

* Understanding of the role of social worker in a complex, fast-paced medical environment

* Ability to consult/teach. Ability to communicate effective orally and in writing. Excellent interpersonal skills including negotiation skills necessary to collaborate within a multi-disciplinary team

* Tolerance for ambiguity; analytical skills and computer literacy

* Appropriately employ a sense of humor

Patient Population:

Staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned areas.

For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served

No Direct Patient Care

All age groups

Adolescence (13 to 17 years)

Neonates (birth to 1 month)

Young Adult (18 to 25 years)

Infant (1 month to1year)

Adult (26 to 54 years)

Early Childhood (12 months to 5 years)

Senior Adult (55 to 64 years)

Late Childhood (6 to 12 years)

Geriatric (65 years and up)

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

* Social Workers provide clinical care in various settings: at the bedside, in treatment areas and offices; and in patient's homes.

* The Department of Social Work will operate 7 days per week. Hours and work schedule will be flexible to meet the needs of patients, families, hospital and staff.

* Must be prepared to come in to work or stay at work during a hospital emergency.

Please check the appropriate physical requirements of the position in the course of a shift.

GENERAL ACTIVITY

AMOUNT OF TIME SPENT

75% or more 50% to 75% 25% to 50% Less than 25% None

STAND/WALK ¨ ¨ ¨ ¨ ¨

SIT ¨ ¨ ¨ ¨ ¨

DRIVE ¨ ¨ ¨ ¨ ¨

MOTION

Bending Squatting Crawling Climbing Reaching

NEVER ¨ ¨ ¨ ¨ ¨

OCCASIONALLY ¨ ¨ ¨ ¨ ¨

FREQUENTLY ¨ ¨ ¨ ¨ ¨

CONTINUOUSLY ¨ ¨ ¨ ¨ ¨

Lifting Carrying Pushing Pulling

NEVER ¨ ¨ ¨ ¨

OCCASIONALLY ¨ ¨ ¨ ¨

FREQUENTLY ¨ ¨ ¨ ¨

CONTINUOUSLY ¨ ¨ ¨ ¨

GROSS FUNCTION PRECISE FUNCTION

USE OF HANDS (Grip/Grasp) (Fine Manipulation)

RIGHT HAND ¨ ¨

LEFT HAND ¨ ¨

USE OF FEET

RIGHT FOOT ¨ ¨

LEFT FOOT ¨ ¨

HEARING YES NO

SENSE OF SMELL REQUIRED YES NO

ABILITY TO DISTINGUISH YES NO

OCCUPATIONALLY EXPOSED TO BODY FLUID: YES NO

¨ Sedentary Work: Lifting 10 lbs. maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools.

Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is

often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only

occasionally and other sedentary criteria are met.

¨ Light Work: Lifting 20 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs. Even though the

weight lifted may be only a negligible amount, a job is in this category when it involves sitting most of the times

with a degree of pushing and pulling of arm and/or leg controls, or when it requires walking or standing to a

Medium Work: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs.

Heavy Work: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.

Very Heavy Work: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing 50 lbs. or more.

APPROVAL

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so

classified.

(NAME)

Department Mgr.______________________________ Title: _____________________ Date: ____________

(NAME)

Other, As Appropriate __________________________ Title: ___________________ Date: ___________