The Licensed Social Worker (LSW), as part of an interdisciplinary team, including the patient/family, physicians, nurses, advanced practitioners and community health assistants, ensures that the team is assessing, supporting and intervening on behavioral and social issues that interfere with optimal outcomes. Provides input into the plan of care and works with patients with significant behavioral, substance abuse or social issues.
Interacts with patients, family members, healthcare professionals, and community and state agencies and serves as a liaison between the patient/family and community agencies / hospitals or other services for the exchange of clinical and referral information.
Along with the Geisinger at Home team, identifies high risk patients from a psychosocial/financial perspective, assesses the psychological needs of patients and families and provides information, support, counseling, care management, and referrals to appropriate resources.
Works collaboratively with the care team to ensure patient needs are met and care delivery is coordinated across the continuum. The expertise of the LSW is sought to resolve psychosocial patient care issues and to develop and implement a complex patient transition/discharge plan for those hospitalized as well as coordination of services for those in the home. Ensures that patients are assisted to achieve their highest level of function and to stay in the least restrictive environment.
Reports to the Director, Clinical Management, Geisinger at Home.
COMPETENCIES AND SKILLS:
Demonstrates the ability to work independently.
Demonstrates excellent interpersonal skills.
Demonstrates excellent analytical and problem-solving skills to assess patient needs and evaluate applicability of available resources.
Demonstrates the judgment and initiative to operate independently and autonomously in the development, implementation and follow up of Plans of Care with minimal guidance from direct manager.
Demonstrates accountability for timely and accurate prioritization, planning and cost effective utilization of available resources for the continuation of patient care.
Demonstrates competency in accessing and documenting in electronic systems. Demonstrates the ability to act in an autonomous, self-directed manner.
Demonstrates organization and delegation, negotiation and conflict resolution, and possesses the ability to be self-directed, flexible, and committed to the team concept.
Demonstrates teamwork, initiative and willingness to learn, accepts and respects diversity without judgment, and demonstrates strong customer service values.
EDUCATION AND/OR EXPERIENCE:
Master's Degree in Social Work (MSW) from accredited university required.
Care Management certification is required after two years of hire.
A minimum of two (2) years of clinical experience as Social Worker is preferred.
Experience in dealing with extended care facilities and community healthcare agencies.
A working knowledge of insurance coverage, various governmental programs, available community care agencies and long-term care facilities.
Knowledge of Social Work theories, therapies and techniques as used in individual family and group treatment.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in the home as well as office setting with telephonic follow-up.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.