PRN Social Worker, Behavioral Health (LSW/LISW)

Provides consultation in Home Health relative to psycho-social, financial and related issues. Coordinates necessary services involving other community agencies and services.  May provide direct casework and counseling services.

• Performs (or evaluates) initial assessment to determine social service needs of patient on physician referral.
• Develops a plan of care that directly stems from a comprehensive social work assessment with goals and appropriate social work interventions in conjunction with physician referral/orders.
• Provides (or assists in providing) direct social service interventions, including coordinating care plan interventions with other community agencies.
• Participates in the interdisciplinary team for the development and revisions of the Plan of Care.
• Re-evaluates and revises Plan of Care, as needed, with physician approval.
• Completes required documentation, including documenting services provided in the Clinical Record in accordance with agency policies and procedures.
• Demonstrate Social Work Clinical Competencies.
• Participates in (or provides) in-service programs and other programs and meetings as needed.
• Participates in interdisciplinary care conferences as needed.
• Provide social service interventions such as:
• Offering specific facilitative functions, including but not limited to advocacy for entitlements, mobilization of resources and coordination of medical/community services, assistance with alternative living arrangements.
• Identify “at risk” situations with appropriate social work interventions and needed community referrals.
• Facilitate planning for patients when level of care changes (i.e., alternative housing options and community referrals).
• Provide time limited supportive counseling as outlined in the individualized treatment plan and care givers.
• Maintain professional competency by participating in professional continuing education; staying informed on new developments and treatment modalities for clinical social work services related to medical/psychiatric patients.
• Performs other duties as assigned.

• Master's degree in Social Worker required
• 2 years of post Master's experience in a health care setting (preferred)
• Demonstrated competence in medical social work, including the ability to work effectively in a multidisciplinary team approach.
• Experience working as part of a team and working effectively with persons and communities from diverse cultural, social, and ethnic backgrounds. The ability to work in a complex institutional structure requiring significant collaboration. 
• Strong planning and organizational skills.  
• Demonstrated ability to work well under pressure, within strict time parameters, and with a strong attention to detail.
• Ability to work independently with minimal supervision.
• Demonstrated ability to maintain strict confidentiality. 
• Demonstrated effectiveness in written and oral communication.  

• LSW, LISW preferred
• CPR certification through the American Heart Association is required.
• Valid driver's license