UnityPoint At Home
Social Worker MSW
Full Time Benefits
As a member of the interdisciplinary team, contributes professional social work knowledge and skills in the provision of services that support patient and family access to health care and address psychosocial factors that influence a patient's health.
Essential functions are the duties and responsibilities that are essential to the position (not a task list). o not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.
% of Time
Performs psychosocial assessment of the patient to identify priority needs, strengths, patient preferences and barriers to care.
Provides crisis intervention and supportive counseling to patients/families to support 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.
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.
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.
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.
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.
Basic UPH Performance Criteria
Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
Demonstrates ability to meet business needs of department with regular, reliable attendance.
Employee maintains current licenses and/or certifications required for the position.
Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
Completes all annual education and competency requirements within the calendar year.
Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Demonstration of UPH Values and Standards of Behaviors
Consistently demonstrates UnityPoint Health's values in the performance of job duties and responsibilities
Leverage the skills and abilities of each person to enable great teams.
Collaborate across departments, facilities, business units and regions.
Seek to understand and are open to diverse thoughts and perspectives.
Own The Moment:
Connect with each person treating them with courtesy, compassion, empathy and respect
Enthusiastically engage in our work.
Accountable for our individual actions and our team performance.
Responsible for solving problems regardless of the origin.
Commit to the best outcomes and highest quality.
Have a relentless focus on exceeding expectations.
Believe in sharing our results, learning from our mistakes and celebrating our successes.
Embrace and promote innovation and transformation.
Create partnerships that improve care delivery in our communities.
Have the courage to challenge the status quo.
Identify items that are minimally required to perform the essential functions of this position.
Preferred or Specialized
Not required to perform the essential functions of the position.
Master's degree in Social Work from an accredited school of social work.
Prefer one year clinical experience in health care.
Current licensure in good standing to practice social work at the Master's level in the state where services are provided (LMSW).
Successfully complete Person Centered Care course within 6 months of hire.
Valid mandatory Reporter course completion by state(s) requirement.
Completion of First Steps (ACP) and IPOST/POLST training.
LISW (may be required in Illinois)
Knowledge of the social work process
Awareness and sensitivity to cultural diversity
Knowledge of the physiological elements of illness and impact on psychosocial functioning
Knowledge of the healthcare system and resources available to patients.
Strong interpersonal skills and ability to work as a collaborative team member
Knowledge of social determinants of Health
Strong verbal and written communication skills
Use of usual and customary equipment used to perform essential functions of the position.
Work may require travel to other UPH facilities or patient homes. May drive a UPH vehicle, rental or own vehicle.
Valid licensed driver with automobile insurance in accordance with state and/or organizational requirements.