Job Description

A Little More About What You Will be Doing

The Clinical Social Worker, MSW is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for corresponding Department/s. Is responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. Is responsible for developing patient care goals and treatment plans as agreed upon by the patient's care team. Is also available to physicians and nurse case managers as a consultant for those patients with complex psychosocial needs and advance care planning.

Evaluates and implements social service programs for patients with psycho/social issues focusing on seniors, catastrophic and chronically ill patients

Develops social service documentation tool/templates in EMR for Social Work consults, family counseling and group sessions and IS reports for outcome measurements

Performs triage for patients within corresponding team(s) and assists in coordinating patient care delivery, including DPA/POSLT and documents pertinent information in the case management system

Implements transitions of care between inpatient and continued outpatient follow up and vice versa

Initiates team care conference to include patient, family and care providers

Evaluates daily caseload and assess achievement of long and short term goals; Modifies goals with providers and care team based upon patient outcomes

Compiles and presents statistics and reports relating to patient outcomes and document findings in the patients EMR

Follows up on communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc.

Acts as the social services liaison for the department, particularly in the areas of: Advance Care Planning discussions, Complex discharge planning, Biopsychosocial assessments

Refers patients to agencies that provides supportive services optimizing patients health plan benefits

Assists in arranging community resources (i.e. meals on wheels, transportation services, adult day care, and info-line) and in the long term planning for patients transitioning to institutional setting

Provides alternatives for patients requiring specific services

Acts as the liaison to Population Health department in regard to chronic disease state management programs

Assists in the development and implementation of new policies and procedures for the department

Participates in advance care planning initiatives

Attends ISP team rounds and participate in interdisciplinary collaborations. Assists in addressing recommendations from psychiatry and neuropsychology, including coordinating discharge to substance abuse treatment centers and mental health programs

Utilizes clinical judgment in making recommendations that will assist in addressing psychosocial barriers to treatment and discharge planning, coordinates discharge to BC/ALF for often complex cases and under-resourced patients

Qualifications

Education

Master’s Degree in Social Work required

Experience

2 years of Clinical Social Work experience, inpatient hospital experience preferred

Licenses/Certification

Licensed Clinical Social Worker (CA LCSW) preferred

Req ID : 1703

Working Title : Social Worker, MSW

Department : MNS ISP

Business Entity : Cedars-Sinai Medical Center

Job Category : Patient Services

Job Specialty : Social Work

Overtime Status : EXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $38.21 - $59.23

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.