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Kaiser Permanente

Medical Social Worker/LICSW - Supportive Palliative Care

Kaiser Permanente, Seattle, Washington, us, 98127

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Medical Social Worker/LICSW - Supportive Palliative Care Medical Social Worker/LICSW - Supportive Palliative Care

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Kaiser Permanente

Job Summary Provides a wide range of clinical social work services in a primary care, inpatient care or home health setting, including support and consultation to the care team in managing patients. Evaluate psychosocial assets and deficits to enable the patient to maintain the greatest level of independence. Coordinates with others to establish a plan of care. Provides short‑term counseling, teaching and brokering with other resources for caregiving needs.

Essential Responsibilities

Provide appropriate social work interventions to all age patients and their families, including psychosocial assessment, brief individual or family counseling, advocacy, linkage, referral, group work, case coordination, and long‑term care planning and placement.

Consultation and coordination with multidisciplinary team of care professionals and primary care site medical/nursery staff, including family conferences, care conferences, team meetings etc.

Assess patient and family needs for care and communicate with other health care providers appropriately; collect data relevant to visits with ongoing assessment throughout the duration of care.

Evaluate patients/family needs through timely assessment, communication and observation; modify the plan of care based on patient/care system response.

Provide crisis intervention, grief/bereavement counseling, problem solving, stress reduction and development of healthy coping strategies to patients in home‑based, clinic, or inpatient care settings.

Conduct comprehensive psychosocial assessment and partner with the patient to identify needs and develop and implement an individual plan of care based on mutually agreed‑upon goals to help patients and families cope and/or restore social, emotional, financial and environmental factors affecting and affected by illness.

Discuss options for care proactively, including Kaiser resources and external community/government resources, to assist patients and families in developing short‑ and long‑term care plans as appropriate; team with other disciplines in assessing, planning and providing services for patients using biopsychosocial information.

Assist patients in advocating for themselves to receive appropriate services within Kaiser and in the community.

Takes, reviews, evaluates and prioritizes referrals and is responsible for daily scheduling of visits.

Identifies appropriate levels of care and facilities for patients and obtains placements when applicable.

Collaborates with internal and external resources in Kaiser and the community to meet mutually agreed goals and objectives; provides information and referral to community resources as requested.

Coordinates exchange of information between Kaiser, families, members, and care facilities (including adult family homes, assisted living and LTC/skilled nursing facilities).

Determines application of Kaiser, Medicare and/or Medicaid benefits to specific patient situations.

Assists in coordinating communication between home health/hospice, clinics, hospitals and field staff to triage psychosocial needs of members.

Performs other related duties as necessary.

Basic Qualifications

Minimum one (1) year of previous social work experience.

Per the National Agreement, current KP Coalition employees have this experience requirement waived.

Education

Master’s degree in Behavioral Science or Master’s degree in Social Work.

License, Certification, Registration

Licensed Marriage and Family Therapist (Washington) or Licensed Advanced Social Worker License (Washington) or Mental Health Counselor License (Washington) or Licensed Independent Clinical Social Worker (Washington).

Basic Life Support required at hire.

Additional Requirements

Excellent written and verbal communication skills.

Demonstrated success as part of a multidisciplinary team and commitment to diversity.

Knowledge of chronic and acute disease and how it impacts patient and family functioning.

Excellent interpersonal and oral and written communication skills.

Must be computer‑literate and preferably experienced in both automated clinical information systems and electronic medical record systems.

Demonstrated ability to function independently as a collaborative, supportive team member.

Must be able to master detailed and complex information regarding benefits and coordination of care.

Preferred Qualifications

Two (2) years of post‑masters experience.

Care coordination experience in managed care system, in‑/outpatient setting, skilled nursing or long‑term care facility.

Knowledge of social case management, conflict resolution and team‑building practices.

Familiarity with Microsoft Office.

Familiarity with electronic charting.

Competence in medical social work case management.

Demonstrated ability to complete multiple tasks/objectives in a timely manner.

Accuracy in psychosocial assessment of patients and development of effective plans of care.

One (1) year experience providing direct service in medical or home health/hospice setting – MSW internship considered.

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