PRN positions help to cover the IP/ED - Variable Shifts, may include weekends and holidays. Responsible for the delivery of social work services for a variety of patients including infant, pediatric, adolescent, adult, and geriatric populations to all medical areas of the hospital. Provides direct intervention with patients and families in such areas as mental health, suicide, domestic violence, sexual assault, child/adult abuse/neglect, death/grief, crisis intervention, adjustment to illness, advocacy, and substance abuse. Partners with multidisciplinary team to proactively support behavior management and safety. In conjunction with assessment, provides clinical interventions and facilitates the coordination of care for families and patients for discharge planning, etc. Collaborates with other members of the patient care team including external agencies to assess each situation to determine the best plan of care. Coordinates and manages systems and activities for referred patients to ensure discharge in a timely manner to psychiatric facilities, substance abuse treatment, outpatient services, etc. Education and/or Experience: Master’s Degree in Social Work. The minimum level of educational attainment and/or length and character of experience needed to perform the job effectively. 1-2 years professional level of work experience in healthcare or mental health, preferred. Licenses, Registrations, Certifications: master’s degree in social work and Licensed Master’s Social Work (LMSW) or Limited License Master’s Social Work (LLMSW) in good standing with the State of Michigan. LMSW preferred. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in a clean, well-lighted & temperature-controlled environment. The employee may sometimes be exposed to infectious disease from blood/air borne pathogens. The noise level in the work environment is usually moderate. May be exposed to threatening behavior or violence as an acute care hospital is an emotionally charged environment. Physical Demands: While performing the duties of this job, the employee is regularly required to stand, walk, and talk or hear. The employee is occasionally required to sit and use hands to finger, handle, or feel. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus. Interpersonal Requirements: Demonstrates excellent human relation skills including verbal and written communication, problem solving, advocacy, crisis intervention, assertiveness, and empathy skills. Has a customer service orientation. Regularly communicates clearly and effectively, both verbally and in writing, as a demonstration of the function of effective process and relationships with the patient and members of the interdisciplinary team. Communicates with internal customers such as, physicians, multi-disciplinary team, finance, and management. Demonstrates effective skills in motivational interviewing, problem-solving and critical thinking in providing services to patients. Communicates effectively with external customers such as, patients, third party payers, community agencies daily and often simultaneously. Regularly utilizes effective negotiation and conflict resolution skills as needed. Essential Duties and Responsibilities: Work variable shifts (i.e., 1st, 2nd, 3rd, 8hr or 12 hr), holidays and weekends to support the needs of an acute care hospital. Respond to Call Downs- Prioritize workload demands to respond and support acute care call downs and codes (i.e., trauma, stroke, AMI, Code blue, etc.). Considerable ability to communicate effectively with distressed persons under adverse conditions. Cover multiple units (i.e., ICU, med/surg, specialty, etc.) and prioritize needs according to acuity. Basic understanding of the patient acute care model and coordinating report for smooth transfers within the hospital, healthcare system and external facilities. Reduce workplace violence- Collaborate with hospital security, Risk, nursing, and other multidisciplinary colleagues to assist with crisis interventions using de-escalation techniques and behavior plans to reduce violence in the workplace. Collaborate with hospital security and the police when violent injuries (i.e., gun violence, etc.) present to the hospital to reduce further risk to patients, staff, and the community. Knowledge of hospital-based programs, physician practice characteristics, utilization management, and professional referral networks. Considerable knowledge of/and ability to utilize empathy, crisis assessment, intervention, and counseling techniques. Assesses the nature of a crisis and the immediate social/emotional needs and strengths of the patient, family, and staff to provide appropriate intervention. Advanced knowledge and understanding of mental health and suicide. Basic knowledge of DSM V diagnostic criteria for mental health. Able to complete mental health assessments, coordinate with Psychiatry Consult service and community resources to facilitate psychiatric transfers or establish safe discharge plans. Assess when discharge planning process is not progressing appropriately and a complex care meeting may be needed, reaching out to CM/MSW Leadership. Develop creative interventions, collaborate with the multidisciplinary team (i.e. psych, child life, nursing, PT, etc.) to address behaviors when limited to no placement options are available. Conduct brief solution focused/strategic clinical interventions utilizing motivation interviewing. Complete legal paperwork to pursue involuntary psychiatric hospitalizations and probate court guardianship hearings. Collaborate with hospital attorney and testify when required. Specialized knowledge of chronic illness and the impact on patient mental health. Knowledge of community service organizations (i.e. CMH, DHHS, shelters, transportation, etc.) and the types of assistance they provide. Work by consult (i.e., physician, RN, patient, family, etc.). Participates in multidisciplinary rounds and provides necessary report to advance patient care. Collaborates with other members of the patient care team to understand each situation from different perspectives and recommends or provides immediate treatment and solution focused interventions. Identifies needs, develops plan of care, and makes referrals to community agencies and other healthcare specialists and plans for patient discharge to ensure the appropriate follow-up treatment and support is available and provided to support a safe discharge. Thoroughly documents each case and enters appropriate information in patient’s electronic medical record in an effective and timely manner. Participates in the development of departmental policies, procedures, and protocols. Identifies and provides for learning needs of patients, families, and health care co-workers. Assumes responsibility for professional development. Participates in required in services, staff meetings, and completes all required competencies. Develops and supports a positive work climate and the overall team effort of the department. Participates in orienting new MSW hires when assigned, following orientation checklist, best practice and standard work. Demonstrates commitment to providing outstanding customer service to all customers in a manner reflective of our mission, values, and customer service standards.
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