Houston, Texas

Work Shift: DAY

Work Week:

Job Summary

As an entry level Social Worker I (SW I), with the support of more tenured Social Workers, comprehensively provides clinical social work and complex discharge planning to patients and their families of a targeted patient population on a designated unit(s). Works with the physicians and multidisciplinary care team to facilitate efficient quality care and achievement of desired treatment outcomes. Holds joint accountability with Case Manager for discharge planning and continuity of care. Assures that psychosocial issues are addressed and treated as needed across the continuum of care.

Describe the age group of primary customers/patients served if applicable to this position.

 Not applicable  School Age (6-12 years)
 Neonate (Birth to 28 days)  Adolescence (12-18 years)
 Infants/Toddlers (29 days to 18 months) Young Adult (19-40 Years)
 Toddler (18 months to 3 years) Middle Adult (40-65 Years)
 Preschooler (3-6 years) Mature Adult (65 years and older)

System and department specific ICARE values
INTEGRITY: We are honest and ethical in all we say and do.
COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
ACCOUNTABILITY: We hold ourselves accountable for all our actions.
RESPECT: We treat every individual as a person of worth, dignity, and value.
EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

Duties and Responsibilities are cross-referenced to the hospital¿s Pillars of Excellence and will be transferred to Performance Evaluation.

PEOPLE (20%)
1. Formulate, develop and implement a comprehensive psychosocial treatment plan utilizing appropriate clinical social work diagnoses, treatments and interventions, including crisis intervention, brief individual, marital and family therapies, and patient, family and caregiver groups.  Assists with screening, identification, diagnosis, management and treatment of victims of abuse, neglect, and domestic violence and of mental health and/or substance abuse problems in patients and family members.
2. Identifies leadership opportunities for professional growth of peers. (People)
3. Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others.  (People) (EF)
4. Uses downtime efficiently, aware of team members¿ workload, consistently offers assistance, and responds positively to requests for assistance from other team members. (People) (EF)
5. Participates in staff education specific to patient populations and unit processes. (People) (EF)

1. Contributes to meeting departmental financial target on scorecard, with focus on length of stay. (Finance) (EF)
2. Completes timely and thorough assessment on all unfunded patients to identify community resources required for effective transition. (Finance) (EF)
3. Demonstrates an effective community resource knowledge base and the judgment and the ability to effectively select and coordinate available resources, including referrals to regulatory agencies. (Finance) (EF)
4. Demonstrates the ability to mobilize alternative resources to fill gaps in established community resources. (Finance) (EF)
5. Provides pertinent patient information to case managers and healthcare team when coordination with significant or intensive resources is necessary to achieve desired treatment outcomes. (Finance) (EF)

1. Modifies care based on continuous evaluation of the patient¿s condition, demonstrates problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Considers variables that impact treatment plans including diagnosis of emotional, social, and environmental strengths and problems related to their illness, treatment and/or life situation (Quality/Safety(EF)
2. Works with case manager for routine discharge and anticipates/prevents and manages/elevates emergent situations. Provides psychosocial assessments, diagnosis and treatment and complex discharge planning for patients and their families. Specific focus given to discharge plan and elimination of psychosocial barriers. (Quality/Safety) (EF)
3. Contributes to meeting departmental targets for quality and safety measures on scorecard. (Quality/Safety) (EF)
4. Uses a structured format for regular communication with patients and families facilitating communication, transitions and hand-offs.  (Quality/Safety) (EF)
5. Reports ¿near misses¿ as well as errors promptly and consistently to improve systems and processes and identify trends.  (Quality/Safety) (EF)
6. Collaborates with staff from the interdisciplinary team concerning safety data to improve outcomes and the safe transition of care through effective patient handoffs. (Quality/Safety) (EF)
7. Implements unit and hospital initiatives to achieve National Patient Safety Goals.  (Quality/Safety) (EF)
8. Identifies opportunity for practice changes. Researches the change and presents options to shared governance and leadership. (Quality/Safety) (EF)
9. Assures that designated core measures are met in providing care.  (Quality/Safety) (EF)
10. Manages usual patient assignment and other unit demands, completes responsibilities in timely manner with accurate documentation, organizes multiple priorities and anticipates/plans for potential problems.  (Quality/Safety) (EF)

1. Maintains individual competencies around critical Social Work functions including; payer rules and regulations, psycho-social assessments and discharge planning methods. (Service) (EF)
2. Serves as a unit-based leader for comprehensive case management activities including assessing high-risk patients and leading team to identify at-risk patients, participating in daily Care Coordination Rounds, and identifying and leading resolution to barriers of efficient patient throughput.(Service) (EF)
3. Uses clinical expertise and high risk screening tools to identify need for case management and/or social work intervention. Screening is accomplished by patient/family interview, review of the medical record including previous episodes of care, H&P, lab and other test results/findings, plan of care, physician orders, nursing and progress notes. (Service) (EF)
4. Completes full assessment based on the social work assessment high-risk screening tool. (Service) (EF)
5. Continuously reviews the total picture of the patient for opportunities for care facilitation and needs for discharge planning. (Service) (EF)
6. Applies crisis intervention theory in the practice setting. (Service) (EF)
7. Documentation reflects, completed patient screening/assessment and reassessment upon admission and concurrently as needed. This is documented in MethOD. (Service) (EF)
8. Facilitates discharge planning activities for assigned patients and collaborates with the case manager and other members of the interdisciplinary team, as well as patient and family, on complex discharges. Maintains ownership of the psychosocial component of the discharge planning process on assigned units. (Service) (EF)
9. Establishes mutual educational goals with patient and family, provides appropriate resources, incorporating planning for care after discharge.  (Service) (EF)
10. Supports patients and families in preventing/resolving clinical or ethical issues.  (Service) (EF)
11. Contributes to meeting target for patient satisfaction on scorecard, with focus on discharge domain.  (Service) (EF)
12. Uses knowledge of levels of care to ensure discharge disposition is to the appropriate level and facilitates transfers to SNFs, hospice, ALF or PCH. Working with patient and family, assesses psychosocial needs associated with transition to alternative levels of care. Provides brief, goal-directed counseling services to assist patients/families to cope more effectively with the transition. (Service) (EF)
13. Uses therapeutic communication to establish a relationship with patients and families and communicates the discharge plan.  (Service) (EF)

1. Provides education to unit-based physicians, nurses, and other healthcare providers on community resources and psychosocial impact on care needs. (Growth/Innovation) (EF)
2. Identifies and presents areas for improvement in patient care or unit operations and offers solutions by participating in unit projects and activities.   (Growth/Innovation) (EF)
3. Supportive of change initiatives. Adapts to unexpected changes.  (Growth/Innovation) (EF)
4. Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations.  (Innovation/Growth) (EF)
5. Identifies own learning needs, consults with healthcare team experts and seeks continuing education opportunities to meet those needs.  (Growth/Innovation) (EF)

This position description is not intended to be all inclusive, and the employee will also perform other reasonably related business duties as assigned by the immediate supervisor and other management as required. The Methodist Hospital reserves the right to revise or change job duties and responsibilities as the need arises.

Maintains level of professional contributions as defined in Clinical Career Path program guide. (EF)

Masters Degree in Social Work from accredited University

New graduate with hospital based internship
1 year hospital social work experience preferred

LMSW license in State of Texas

 Works independently with minimal supervision
 Strong assessment, organizational and problem solving skill
 Knowledge of community resources (acquired within 6 months of hire)
 Knowledge of health care financial and payer issues, and eligibility for state, local and federal programs (acquired within 6 months of hire)
 Computer skills
 Advanced oral and written communication skills
 Collaboration, negotiation, and mediation skills
 Time management and prioritization skills
Critical thinking

Equal Employment Opportunity

Houston Methodist is an Equal Opportunity Employer.

Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of  race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.

VEVRAA Federal Contractor – priority referral Protected Veterans requested.

Company Profile

Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation's leading centers for medical education and research.  Houston Methodist is consistently ranked in U.S. News & World Report’s “Best Hospital” list and was recently named the number one hospital in Texas. FORTUNE magazine has placed Houston Methodist on its annual list of “100 Best Companies To Work For” since 2006.  Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 1,119 licensed beds, 67 operating rooms and over 6,000 employees, Houston Methodist offers complete care for patients from around the world.

Houston, Texas

At Houston Methodist, Leading Medicine is more than a description of what we do; it's who we are. We take our responsibility as Houston's premier health care system seriously, and with a national reputation for excellence in patient care, innovation and research, we hold ourselves and the careers we build to a higher standard. Our culture is diverse, dynamic and challenging. We believe in our I Care Values and conduct ourselves with Integrity, Compassion, Accountability, Respect for others and a commitment to Excellence. Discover the difference for yourself and join Houston Methodist.

You can click on the video links below to learn more!

·  About Houston Methodisthttps://www.youtube.com/watch?v=ClN3mmKT0EI

·  Nursing at Houston Methodisthttps://www.youtube.com/watch?v=EUfmVeansTo

·  Houston - Best City to Live Inhttps://www.youtube.com/watch?v=MzLQzGBjHJw

Similar jobs