Provides social work services, assesses and enhances the patient’s/family’s/significant other’s ability tocope with physical, emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establish a discharge plan for the patient. Job Description. Essential Functions - Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. - Conducts psychosocial assessment/reassignment of patients/significant others relating to the social,emotional and cognitive capabilities of patients in relationship to their illness and healthmaintenance needs. - Develops and implements a plan of intervention that addresses identified needs related toneeds/problems identified during assessment. - Collaborated with the multidisciplinary team to ensure appropriate discharge planning - Provides counseling for patient/family/significant others to assist with coping with new diagnoses,chronic illness and palliative or terminal care - Advocates on behalf of the patients/families to enable them to obtain necessary services. Competencies (Knowledge, Skills, and Abilities Required):Knowledge of: Medical terminology and disease process; Community resources; Insurance regulationsand requirements. Skill in: Work with multidisciplinary teams, outside resources, patients/families/significant others. Ability to: Establish an appropriate plan to safely discharge patients to the next level of care Minimum Education and Experience Requirements:Education:Graduate from an accredited Masters of Social Work program required. Masters of Social Workrequired. AND - Experience:Minimum of 2 years hospital based social work experience. Minimum Certifications, Registration or License Requirements: Active LSW or LCSW required for New Jersey positions and preferred for Pennsylvania positions. Additional Information Other Functions (in addition to Essential Functions) - Serves as a resource and provides counseling and intervention related to treatment decisions and end of life care issues. - Refers patient/significant other to community based services/resources to meet patient’s continuum of care needs. - Coordinates team and/or family conferences when necessary to facilitate patient’s care progression. - Provides psychosocial counseling and crisis interventions to patients/significant others with needs. Provides interventions in cases involving child abuse/neglect, domestic violence, elder abuse and institutional abuse. Provides intervention in cases involving guardianship, foster care, adoption, psychiatric assessment and placement, Advance Directives (Center City), trauma and substance abuse. - Facilitates completion of all placement related documentation in nursing home grants, applications, etc. Completes referrals to options programs where appropriate. - Documents in accordance with hospital and departmental requirements. - Works with Case Managers in providing discharge planning services per departmental policies and procedures in collaboration with the multidisciplinary team and patient/family. - Identifies patients and locates family and/or next of kin. - Educates patients/significant others on the process for obtaining health insurance. Provides appropriate documents/information to apply for welfare insurance. - When necessary, initiates medical assistance application in a timely manner (Center City) or ensure medical assistance application has been initiated by identified external agencies (excludes Center City). Follows up with identified external service regarding application. - Provides psychosocial assessment and intervention as well as documents in the electronic medical record updates throughout patient’s hospitalization, discharge planning process and relevant post-acute care - Supervises field placement of MSW students. - When appropriate, refer case to the Placement Official Social Worker to assist in obtaining placement for the patient’s discharge (Center City and Abington/ Lansdale). - Precept and mentor new staff members to their role and department. Work Shift. Workday Day (United States of America)Worker Sub Type. Regular. Employee Entity. Albert Einstein Medical Center. Primary Location Address 5501 Old York Road, Philadelphia, Pennsylvania, United States of America.