Medical Social Worker Ii - Grade 10 Hospice - Martinez

Hospital/Clinic The primary role of the Medical Social Worker II is to assist patients and families/caregivers to cope with the social/emotional issues and practical arrangements related to the patients illness. Under general direction of the Social Work Manager/LCSW, delivers age-appropriate social work care to patients and their caregivers in accordance with agency policy and procedure and state and federal regulations. The Medical Social Worker II serves as an integral member of the healthcare team providing assessments, coordination, treatment planning, information and referral to community resources and other social work services to meet the complex needs of patients and families in the hospital and clinic settings.
Hospice/Home HealthThe primary role of the Medical Social Worker II in the Hospice/Home Health setting is to assist patients and families/caregivers to cope with the social/ emotional issues and practical arrangements related to the patients illness. Under general direction, delivers age-appropriate social work care to patients and their caregivers in their place of residence in accordance with agency policy and procedure and state and federal regulations. The Medical Social Worker II serves as an integral member of the home health team providing assessments, coordination and implementation of social work services to meet the complex needs of patients in the home setting.
Responsible for developing and implementing individual Plan of Treatment which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or affected by illness.

• Collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Provides information and referral to community resources as requested.
• Perform other related duties as necessary.
• Takes, reviews, evaluates and prioritizes written and oral referrals. Maintains documentation, records and data collections. Responsible for completion of required documents in a complete and timely manner.
• Identifies appropriate levels of care and facilities for referred patients, were applicable. Obtains placements, where applicable.
• Assist patient in advocating for self to receive appropriate services within Kaiser and in the community. Assist patient and family with care planning and discharge plans.
• Functions as part of the Skilled Nursing Facility Team to assure appropriate, timely placement of Kaiser members in nursing facilities. Liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care.
• Participates in Utilization Management/Quality Assurance activities.
• Assist in coordinating communication between regional offices, clinics, hospitals, and field staff, triaging of phone calls from members-/families. Works with referral sources to clarify and complete required clinical and psychosocial information.
• Completes psychosocial assessments. Partners with patient to identify needs and develop and implement individual treatment plan based on mutually agreed upon treatment plan.
• Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations.
• Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short and long term care plans as appropriate. Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information.

Hospital/Clinic:

• Identifies appropriate levels of care and facilities for referred patients, were applicable.
• Responsible for developing and implementing individual Plan of Treatment which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or affected by illness.
• Obtains placements, where applicable.
• Assist patient and family with care planning and discharge plans.
• Works with referral sources to clarify and complete required clinical and psychosocial information.
• Completes psychosocial assessments. Partners with patient to identify needs and develop and implement individual treatment plan based on mutually agreed upon treatment plan.
• Provides information and referral to community resources as requested.
• Maintains documentation, records and data collections.
• Takes, reviews, evaluates and prioritizes written and oral referrals.
• Assist patient in advocating for self to receive appropriate services within Kaiser and in the community.
• Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short and long term care plans as appropriate.
• Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations.
• Perform other related duties as necessary.
• Responsible for completion of required documents in a complete and timely manner.
• Collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives.
• Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities.
• Liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care.
• Participates in Utilization Management/Quality Assurance activities.
• Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information.
• Provide psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings. Provide counseling for disease acceptance and understanding.
• Functions as part of the Skilled Nursing Facility Team to assure appro priate, timely placement of Kaiser members in nursing facilities.
• Assist in coordinating communication between regional offices, clinics, hospitals, and field staff, triaging of phone calls from members/families.

Hospice/Home Health:

• Maintains documentation, records and data collections.
• Responsible for developing and implementing individual Plan of Treatment which assist patients and families to cope and/or restore social, emotional, financial and environmental factors which affect and/or affected by illness.
• Participates in Quality Assurance activities as assigned.
• Provide counseling to help patients cope with acute/chronic/terminal illnesses.
• Assist patient and family in placing patient in higher level of care as determined by team and patient, if applicable.
• Partners with patient to identify needs and develop and implement individual treatment plan based on mutually agreed upon treatment plan.
• Works with referral sources to clarify and complete required clinical and psychosocial information.
• Provides information and referral to community resources as requested.
• Takes, reviews, evaluates and prioritizes written and oral referrals.
• Team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information.
• Identifies appropriate levels of care and facilities for referred patients, where applicable. Obtains placements, where applicable.
• Collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives.
• Liaison between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care.
• Completes biopsychosocial strengths based assessments.
• Assist in coordinating communication between regional offices, clinics, hospitals, and field staff, triaging of phone calls from members/families.
• Provide psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings.
• Assist patient in advocating for self to receive appropriate services within Kaiser and in the community.
• Functions as part of the Home Health/Hospice Team to assure appropriate, timely placement of Kaiser members in nursing facilities.
• Coordinates exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations.
• Perform other related duties as necessary.
• Responsible for completion of required documents in a complete and timely manner.
• Discuss options for care proactively including Kaiser resources and external community/government resources to assist patient and family in developing short and long term care plans as appropriate.

At least one (1) year post MSW experience in a health care setting preferred- MSW internship may be considered.

• - Masters in Social Work accredited by the Council of Social Work Education. - Masters in Social Work accredited by the Council of Social Work Education.

• N/A

• Demonstrated ability to function independently as a collaborative, supportive team member.
• Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.
• Step III: Four (4) or more years of social work experience within the last ten (10) years (M.S.W. fieldwork not included).
• Step I: Less than two (2) years social work experience (M.S.W. field work not included).
• Must have solid psychosocial assessment skills.
• Must have solid psychosocial assessment skills.
• Must be willing to work in a Labor Management Partnership environment.
• Must be able to master detailed and complex information regarding benefits and coordination of care.
• Step II: Two (2) to four (4) years of social work experience within the last five (5) years (M.S.W. fieldwork not included).
• Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks.
• Demonstrated ability to work on a multidisciplinary team.
• Knowledge of chronic and acute disease and how it impacts patient and family functioning.
• Demonstrated excellent oral/telephone communication skills and written documentation.
• Must be computer-literate and, preferably, experienced in automated clinical information systems.
• - One (1) year experience providing direct service in medical or home health related setting - MSW internship considered.
• Additional Requirements:
• At least one (1) year post MSW experience in a health care setting preferred- MSW internship may be considered.
• Step III: Four (4) or more years of social work experience within the last ten (10) years (M.S.W. fieldwork not included).
• Step I: Less than two (2) years social work experience (M.S.W. field work not included).
• Must be able to master detailed and complex information regarding benefits and coordination of care.
• Must demonstrate ability to effectively and efficiently handle demanding workload involving multiple tasks.
• Must be willing to work in a Labor Management Partnership environment.
• Must be computer-literate and, preferably, experienced in automated clinical information systems.
• Demonstrated ability to function independently as a collaborative, supportive team member.
• Step II: Two (2) to four (4) years of social work experience within the last five (5) years (M.S.W. fieldwork not included).
• Demonstrated excellent oral/telephone communication skills and written documentation.
• Knowledge of chronic and acute disease and how it impacts patient and family functioning.
• Demonstrated ability to work on a multidisciplinary team.
• Basic Qualifications:Hospital/Clinic:
• Hospice/Home Health:

• - LCSW preferred. - LCSW preferred.

PrimaryLocation : California,Martinez,Martinez Hacienda Home Health/PT
HoursPerWeek : 1
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun *This is an on call position, days and hours may vary.
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 04:30 PM
Job Schedule : Call-in/On-Call
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : A06|SEIU|United Healthworkers
Job Level : Individual Contributor
Job Category : Behavioral Health, Social Services & Spiritual Care
Department : Martinez Hacienda Med Offices - Hospice - Internal - Other - 0201
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.