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Social Worker II - Annapolis Maryland
Company: Luminis Health
Location: Annapolis, Maryland
Posted On: 11/17/2024
Position Objective:
Provides counseling, crisis intervention, and -transition planning services to AAMC patients of all ages and their families. Performs psychosocial assessments, plans for and implements identified services for patients. Assists in mentoring, supervision to new professional staff and student interns.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
In accordance with established department and professional guidelines, provides comprehensive psychosocial assessments for patients identified by Care Coordinator, and/or interdisciplinary team.
In counseling role, creates a therapeutic framework for effective problem solving with patient and family. Responds to patient/family needs related to adjustment to illness, disability, critical care issues, acceptance of discharge recommendations, need for long-term care placement, end of life, grief, trauma, abuse and neglect, substance abuse, and mental health issues.
Provides discharge planning in complex situations such as: substance abuse, psychiatric, or dual diagnosis placement/services, AERS evaluation prior to placement, ventilator dependent patients, inpatient dialysis services, patients with no insurance needing skilled nursing facility placement, patients requiring guardianship, long term/custodial placement.
Identifies community services and resources available to patients and families and facilitates linkage with those services.
Collaborates with the interdisciplinary team and communicates to him/her the progress and status of referred patients. Makes recommendations and revises plan based on continued evaluation and collaboration. Communicates proactively with members of care management and the interdisciplinary team as appropriate and indicated.
Evaluates patient/family progress toward established goals. Arranges and facilitates care conferences as needed, and facilitates patient/family support groups.
Integrates medical record and nursing information in assessment and interventions.
Ensures timely, appropriate, and accurate evaluation and reporting of suspected child/elder abuse and or neglect. Assesses for domestic violence issues and involves domestic violence program coordinator as indicated and appropriate.
Documents interventions in patient's medical record following department standards.
Participates in process improvement activities in the care management department. Identifies opportunities for improvement and recommends solutions to care management leaderships; and Assists in mentoring new professional staff and student interns.
Educational/Experience Requirements:
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