Kaiser Permanente
Medical Social Worker II
The 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. Essential responsibilities include providing psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings. Counseling to help patients cope with acute/chronic/terminal illnesses is also provided. The Medical Social Worker II is 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. Biopsychosocial strengths based assessments are completed, and patients are partnered with to identify needs and develop and implement individual treatment plans based on mutually agreed upon treatment plans. The Medical Social Worker II discusses 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. They team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information. The Medical Social Worker II assists patients in advocating for self to receive appropriate services within Kaiser and in the community. They assist patients and family in placing patient in higher level of care as determined by team and patient, if applicable. Written and oral referrals are taken, reviewed, evaluated and prioritized. Documentation, records and data collections are maintained. Required documents are completed in a complete and timely manner. The Medical Social Worker II functions as part of the Home Health/Hospice Team to assure appropriate, timely placement of Kaiser members in nursing facilities. They liaise between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care. Appropriate levels of care and facilities for referred patients are identified, where applicable. Obtain placements, where applicable. They collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Information and referral to community resources as requested is provided. They coordinate exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations. Participates in Quality Assurance activities as assigned. Assists 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. Performs other related duties as necessary.
The 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. Essential responsibilities include providing psychodynamic interventions, crisis intervention, grief/bereavement counseling, problem solving, stress reduction and developing healthy coping strategies in individual/family/group settings. Counseling to help patients cope with acute/chronic/terminal illnesses is also provided. The Medical Social Worker II is 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. Biopsychosocial strengths based assessments are completed, and patients are partnered with to identify needs and develop and implement individual treatment plans based on mutually agreed upon treatment plans. The Medical Social Worker II discusses 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. They team with other disciplines in assessing, planning and providing services for patients utilizing biopsychosocial information. The Medical Social Worker II assists patients in advocating for self to receive appropriate services within Kaiser and in the community. They assist patients and family in placing patient in higher level of care as determined by team and patient, if applicable. Written and oral referrals are taken, reviewed, evaluated and prioritized. Documentation, records and data collections are maintained. Required documents are completed in a complete and timely manner. The Medical Social Worker II functions as part of the Home Health/Hospice Team to assure appropriate, timely placement of Kaiser members in nursing facilities. They liaise between patient and Kaiser maintaining positive relationship with Kaiser and providing for continuity of care. Appropriate levels of care and facilities for referred patients are identified, where applicable. Obtain placements, where applicable. They collaborate with internal and external resources in Kaiser and the community to meet mutually agreed upon goals and objectives. Information and referral to community resources as requested is provided. They coordinate exchange of information between Kaiser, families, members and skilled nursing facilities. Determines application of Kaiser, Medicare and Medi-Cal benefits to specific patient situations. Participates in Quality Assurance activities as assigned. Assists 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. Performs other related duties as necessary.