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Texas Health Huguley FWS

Licensed Clinical Social Worker

Texas Health Huguley FWS, Castle Rock, Colorado, United States, 80104

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Job Title Licensed Clinical Social Worker – Oncology (Job Number: 25040637)

Location & Schedule Part‑time, Days Shift, 2350 MEADOWS BLVD, Castle Rock, CO 80109, Oncology Department

Benefits and Perks

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Job Description The Licensed Clinical Social Worker - Oncology intervenes with patients who have complex psychosocial needs, require assistance with eligibility determination for social programs, funding sources and qualify for community assistance from a variety of special assistance programs and agencies, and/or require assistance with transitions of care or discharge planning. In addition, offer crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a discharge plan of care for high‑risk patient populations.

Responsibilities

Receive referrals for individuals from at‑risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team).

Ensure patient‑centered care coordination through the continuum of care in collaboration with the patient/family, care manager nurses, nurses, physicians, and the interdisciplinary team.

Ensure efficient and cost‑effective care through appropriate resource monitoring and clinical care escalations.

Conduct patient evaluations of post‑hospital needs; develop transition of care plans and initiate implementation of the plans prior to discharge.

Maintain optimal patient flow/throughput to enhance continuity of care, smooth & safe transitions, patient satisfaction, patient safety, readmission prevention, and length of stay management.

Communicate daily with the interdisciplinary team during daily multidisciplinary rounds.

Provide education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for discharge planning and care coordination.

Advise on post‑hospital care and services available to the patient including home health, infusion services, durable medical equipment, palliative care, hospice, outpatient services, transitions of care clinics, transitional care supportive programs and clinics, follow‑up appointments, skilled nursing facilities, rehabilitation services, and community‑based organizations.

Adhere to departmental and system goals, objectives, policies and procedures and ensure quality patient care and regulatory compliance.

Participate in outstanding customer service and maintain respectful relationships with all stakeholders.

Value you’ll bring

Communicate with and educate patients and families regarding emotional, social, and financial impacts of illness, mobilizing family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.

Assess readmitted patients for the patient’s and family’s perceived reasons for the readmission.

Organize and facilitate patient and family care conferences with the multidisciplinary team.

Document discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.

Qualifications

Required: Master’s Social Work, 4+ years of work experience.

Preferred: Licensed Social Worker (LSW), Certified Social Worker (CSW), Clinical Social Worker License (LCSW), Licensed Masters Social Worker – Advanced Practice (LMSW‑AP), Licensed Master Social Worker (LMSW), Lic Baccalaureate Social Worker (LBSW), Certified Advanced Practice Social Worker (CAPSW).

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