UnityPoint Health
Location
Des Moines, Iowa
Provide professional social work services to support patient access to healthcare and address psychosocial factors influencing health. Responsibilities include performing assessments, facilitating care transitions, and advocating for patient autonomy and safety.
A BSW degree is required, while an MSW is preferred, along with a valid social work license obtained within one year of hire. Preference is given to candidates with one year of clinical experience in a healthcare setting.
Patient Care: Performs psychosocial assessment of the patient to identify priority needs, strengths, patient preferences and barriers to care. Provides immediate crisis intervention and support to patients/families to enhance their ability to cope with the impact of health conditions. Educates patient/family regarding Advanced Directives and facilitates/documents advanced care planning conversations with patients/surrogate decision makers including First Steps and IPOST/IPOLST. Assesses grief issues and offers bereavement support. Assists with planning for care transitions and collaborates with UPH, community services, and facilities to support patient safety and continuity of care. Completes PASRR or other screening tools when appropriate for transition to another care provider. Documents assessments, interventions, and referrals in the electronic health record according to documentation standards. Education and Advocacy: Serves as a patient/family advocate in support of patient confidentiality, informed consent, patient autonomy, and self-determination. Assesses patient safety to identify possible abuse, neglect or other risks to safety. Collaborates with the care team to address safety issues and files DHS reports and/or guides others in the process as mandated. Provides information and support with guardianship and conservatorship issues. Supports culturally competent services and assists with arranging interpreter services as needed. Provides education to the patient/family regarding available services and supports and assists the patient to access those they are eligible for. Provides information and education to physician and other team members in understanding the psychosocial implications of illness and disease progression for the patient/family. Participates in mentoring new employees and/or supervising social work interns as requested. Care Coordination/Transition Support: Identifies patient transitional needs by assessing psychosocial, environmental, financial and cultural strengths and barriers. Maintains comprehensive knowledge of community resources and acts as a liaison to refer patients/families to health and social services, health insurance, public assistance and other resources to meet patient identified needs. Provides expertise and plays a key role with the care team in establishing patient-centered goals of care and identifying psychosocial and behavioral strengths and barriers. Contributes to the comprehensive, longitudinal plan of care based on patient-centric goals and coping strategies. Facilitates and/or participates in interdisciplinary team meetings to review and revise the patient plan of care. Facilitates patient/family meetings to enhance family support of the patient’s care. Collaborates with social workers and other professionals across the continuum and in the community to ensure continuity of care.
Education: BSW degree Required in Social Work from an accredited school of social work. MSW degree in Social Work Preferred.
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