UNITED HOSPITAL CENTER

POSITION DESCRIPTION AND COMPETENCY EVALUATION

 

 

TITLE:                         SOCIAL WORKER     

DEPARTMENT:           CASE MANAGEMENT

REPORTS TO:            VICE PRESIDENT QUALITY/CQO

 

q   ANNUAL

q   90 DAY

q    90 DAY TRANSFER

q    FOLLOW-UP

PROBATION

 

 

 

 

REVIEWED/APPROVED/DATE:

 

UPDATED:12/04,12/05, 6/06, 5/07,12/08,12/09,12/10, 12/11, 1/12,4/12__

UPDATED:12/13____________________________________________

 

 

                                                                                                                                                                                                                  

 

 

BASIC PURPOSE:

 

Collaborates with the physician, other health care professionals, patient family in the design and documentation of an explicit discharge plan of care.  Implements and evaluates the progress of the plan of care.  Collects key data elements which describe the achievement of quality/performance improvement and utilization/financial goals.

 

 

QUALIFICATIONS:

1.      Bachelors Degree in Social Work from a school of social work or related field.

2.      Social Worker with current licensure to practice in West Virginia.

3.      At least 2 years acute care experience.

4.     Ability to communicate effectively, both verbal and written.

5.      Experience with discharge planning required.

6.      Must demonstrate ability to communicate and to use tact and diplomacy in dealing with physicians, patients, families

        and other health care professionals.

7.      Ability to work independently while being able to communicate with team.

8,     Ability to assess complex situations and develop a realistic, appropriate and safe discharge plan.

9.     Must demonstrate characteristics of dependability and punctuality.

 

 

ESSENTIAL FUNCTIONS FOR SOCIAL WORKER

 

 

THIS DESCRIPTION DOES NOT STATE OR IMPLY THAT THE DUTIES, ESSENTIAL FUNCTIONS, AND JOB REQUIREMENTS ARE THE ONLY PARAMETERS FOR THIS POSITION.  ASSOCIATES ARE REQUIRED TO FOLLOW JOB-RELATED INSTRUCTION AND PERFORM OTHER JOB RELATED ACTIVITIES REQUESTED BY THEIR SUPERVISOR.

 

ALL REQUIREMENTS ARE SUBJECT TO POSSIBLE MODIFICATION IN ORDER TO PROVIDE A REASONABLE ACCOMMODATION TO INDIVIDUALS WITH PHYSICAL OR MENTAL DISABILITIES AS DEFINED BY THE AMERICANS WITH DISABILITIES ACT.  SOME REQUIREMENTS MAY EXCLUDE INDIVIDUALS WHO POSE A DIRECT THREAT OR SIGNIFICANT TO THE HEALTH AND SAFETY OF THEMSELVES, THE PATIENTS, OR OTHER ASSOCIATES.

 

 

PHYSICAL REQUIREMENTS:

 

§  Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting and grasping are necessary body movements utilized in performing duties throughout the work shift.

§  Must be able to read and write legibly in English.

§  Must be able to type.

§  Must be able to exert up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or negligible amount of force constantly to move objects.

§  Hearing within normal range is required.

§  Visual acuity within normal range is required.

§  Must be able to sit for extended periods reading charts, files, etc.

 


 

MENTAL REQUIREMENTS:

§  Must be able to handle and maintain confidential information.

§  Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly technical situations.

§  Must have the ability to work successfully under highly stressful conditions and must be capable of adapting to varying workloads and work assignments on a constant basis.

§  Must have the ability to make sound, independent judgments based upon scientific and regulatory principles, and also be able to collaborate successfully with other multi-disciplinary team members in an appropriate fashion.

§  Must have strong verbal and written communications kills.

§  Must have the ability to comprehend and perform oral and written instructions and procedures.

§  Must have math skills to work with statistics, data collection, etc.

§  Must be able to organize, prioritize and complete assigned tasks.

§  Must be able to work extended hours.

 

 

ENVIRONMENTAL CONDITIONS:

(POTENTIAL FOR)

§  Exposure to high stress and frequent work interruptions.

§  Must be capable of working in a confined space and under fluorescent lighting.

§  Exposure to cleaning agents and disinfectants.

§  Exposure to toxic gas, fumes, and odors.

§  Exposure to electrical current.

 

 

EQUIPMENT USED:  This must be considered only a representative, partial list, since equipment changes may occur at any time.

Telephone and paging system

Computer terminals

Fax machine

Photocopying equipment

Typewriter

 

 

DIRECTIONS: Use the keys designated for Assessment, Learning, and Achievement sections.  More than one item may be used per section.  Prior to working in department, please complete self- assessment portion and return to manager.  Date and signature indicates independent/satisfactory performance.  Asterisks (*) indicate critical criteria for job title competency.  (OPTIONAL) Assessment/level key of 3 or 4 Required.

 

ASSESSMENT/LEVEL KEY

LEARNING/VALIDATION

METHOD KEY

EVALUATION KEY

1

INADEQUATE KNOWLEDGE/ PERFORMS INCOMPETENTLY

D

DEMONSTRATION

D

DEMONSTRATION

2

NEEDS REVIEW/PERFORMS W/DIRECT SUPERVISION

H

HANDOUT

T

KNOWLEDGE ASSESSMENT TEST

3

STATE W/ASSISTANCE/PERFORMS W/ASSISTANCE

L

LECTURE

 

 

4

STATE INDEPENDENTLY/PERFORMS COMPETENTLY & INDEPENDENTLY

E

EXPERIENCE

 

 

NA

NOT APPLICABLE FOR ASSOCIATE

V

VIDEO

 

 

 

 

SLM

SELF LEARNING MODULE

 

 

 

 

O

OBSERVE

 

 

 

 

C

COGNITION

 

 

 

 

 

 

 

 

 



JOB PERFORMANCE STANDARDS FOR SOCIAL WORKER

 

IN COLLABORATION WITH THE PATIENT, FAMILY AND HEALTH CARE TEAM, THE SOCIAL WORKER IN THE QUALITY IMPROVEMENT DEPARTMENT WILL PROVIDE SERVICE TO THE FOLLOWING WORK SYSTEMS:


 

 

STANDARD/CRITERIA

 

SELF

ASSESS-MENT

 

EVALUATOR

 

LEARNING/

VALIDATION

METHOD

 

DATE/

SIGNATURE

 

I.       MANAGEMENT OF CARE

A.     Completes comprehensive assessment to develop a safe, realistic discharge plan of care appropriate for the patient.

 

 

 

 

 

 

 

 

 

B.     Assesses changes in the physician’s plan of care and the impact on the discharge plan.

 

 

 

 

 

 

 

 

        C.    Initiates discharge planning in collaboration with care management team.

 

 

 

 

        D.    Reviews discharge plan on an ongoing basis and communicates changes in the plan to the appropriate parties.

 

 

 

 

E.*E.   Documents discharge plan a in patient’s chart on a frequency that                               communicates    the plan to interdisciplinary team.

 

 

 

 

 

 

 

 

 

F.      Ensures that discharge needs are met prior to discharge.

 

 

 

 

 

 

 

 

 

        G.      Assesses for signs and symptoms of abuse and/or neglect and makes referrals to appropriate agencies.

 

 

 

 

 

 

 

 

 

H.    Identifies decision maker of medical (financial, if indicated) or if there is an existing Medical Power of Attorney designee and presence of Living Will or other advanced directives.

 

 

 

 

 

 

 

 

 

I.      Assists patient in completion of Living Will and Medical Power of Attorney forms as requested.

 

 

 

 

 

 

 

 

 

J.      Works with legal council in pursuing and expediting guardianship, and/or conservatorship actions when necessary.

 

 

 

 

 

 

 

 

 

K.     Works in collaboration with hospital attorney as well as with appropriate agencies, patient, physician and other health care professionals to ensure adoptions are completed according to appropriate laws, rules and regulations.

 

 

 

 

 

 

 

 

 

II.      QUALITY IMPROVEMENT

        A.     Assists in planning, implementing and evaluating QI strategies.

 

 

 

 

 

 

 

 

 

        B.      Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, communication, safety, education level, and related criteria for the ■ infant, ■ pediatric, ■ adolescent, ■ adult, ■ geriatric patient per the established age-specific standard.

 

 

 

 

 

 

 

 

 

C.    Communicates to Director of Case Management and/or appropriate physician/medical staff director/peer review.

1.      Deviations from expected norm, quality or appropriateness of care according to established standards of care.

 

 

 

 

 

 

 

 

 

2.      Length of stay issues.

 

 

 

 

 

 

 

 

 

3.      Risk management issues.

 

 

 

 

 

 

 

 

 

D.     Explains to physicians, patient, family and other health care professionals Medicare, Medicaid and other 3rd party payers coverage issues and regulations.

 

 

 

 

 

 

 

 

        E.     Adheres to the hospital service standards

 

 

 

 

 

F.    Communicates using tact and diplomacy dealings with physicians, patients, families, and other health care professionals.

 

 

 

 

 

 

 

 

 

 

 

III.     ORGANIZATIONAL SKILLS

A.     Identifies potential problems with post-discharge care and/or initiates early referrals to promote timely transfer and proper utilization of hospital resources.

 

 

 

 

 

 

 

 

 

*B.    Takes appropriate actions to minimize financial loss to the hospital and/or improve the quality of patient care delivery (i.e., discusses cases with patients and families, consult with physician).

 

 

 

 

 

 

 

 

 

C.     Assists physician in identifying alternate methods and level of care when patient does not require acute hospitalization.

 

 

 

 

 

 

 

 

 

D.     Exercises independent professional judgment as evidenced by identifying potential problems and taking appropriate action.

 

 

 

 

 

 

 

 

        E.    Demonstrates flexibility in response to unexpected changes in work volume, emergencies, staffing or scheduling changes.

 

 

 

 

        F.     Demonstrates ability to formulate and execute a safe discharge plan in an expeditious manner.

 

 

 

 

 

IV.   DIRECT SERVICES TO PATIENTS/FAMILIES

       * A.     Performs and completes assessments reflecting patient/family psychosocial emotional and financial needs and records assessment in McKesson Care Manager.

 

 

 

 

 

 

 

 

 

B.     Refers patients and/or families to a wide-range of community services; including but not limited to provision of health care coverage, income maintenance programs, transportation services, etc. by completing agency specific referral forms (ie. PAS-95).

 

 

 

 

 

 

 

 

 

C.     Refers patients to appropriate long term care facilities according to the facility’s specified referral process, arranges transfer to long-term care and documents those arrangements in medical record.

 

 

 

 

 

 

 

 

D.     Arranges in home care and equipment including but not limited to Home Health, Hospice, DME, IV Therapy, etc.  Freedom of choice is honored when arranging   these services.

 

 

 

 

       *E.    Follows acceptable infection control guidelines during room interview with                           particular attention to patients in isolation.  Adheres to standards precautions                     with all patients.

 

 

 

 

 

V.     CONSULTATION AND COLLABORATIVE ACTIVITIES

A.     Collaborate with care management team, including but not limited to members of the medical and nursing staff, dietary, and physical therapy personnel to plan for patient discharge needs.

 

 

 

 

 

 

 

 

 

B.     Participates in meetings as indicated for the purpose of identifying length of stay issues to develop and expedite discharge.

 

 

 

 

 

 

 

 

 

C.     Explores and collaborates with resources within the hospital and community to meet defined patient needs.

 

 

 

 

 

 

 

 

 

VI.    PROGRAM PLANNING

A.     Assists in the development of departmental policies and procedure guidelines.

 

 

 

 

 

 

 

 

VII.   OTHER

         A.   Assist with other duties as required by the director.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

q   Meets Overall Performance Standards

 

q   Does Not Meet Overall Performance Standards

 

 

 The undersigned acknowledge the successful completion of the criteria listed above.

 

 

ASSOCIATE SIGNATURE:

 

DATE:

 

EVALUATOR SIGNATURE:

 

DATE:

 

DEPT.  MANAGER SIGNATURE:

 

DATE: