The inpatient Clinical Social Worker LCSW position is responsible for the development, planning, implementation and evaluation of all social service-related activities for the Cedars-Sinai Medical Network Services. The position demands for an intensive focus on crisis intervention and counseling, problem-solving and conflict resolution, patient and family management, interdisciplinary collaboration, biopsychosocial assessments, education, advocacy, and community resource linkages.
The LCSW is available to physicians, nurses, case managers, and other members of the care team in the treatment of individuals being admitted through the Inpatient Specialty Program. These individuals include, but are not limited to, high risk and frail patients, seniors, and those with chronic and terminal medical conditions. CSMC services individuals from various health plans including Managed Care, Medicare, Medi-Cal, even uninsured.
ESSENTIAL JOB DUTIES:
Perform direct client interaction and complete a biopsychosocial-spiritual assessment and make recommendations that will assist in the delivery of the care plan.
Provide psychosocial interventions that would enhance patient's well-being and recovery such as supportive listening and counseling, motivational interviewing, encouragement and guidance, strengths' perspective, solution-focused, crisis intervention, problem-solving, education, advocacy and linkages.
Address and assist in the resolution of psychosocial issues that are hindering patient's care such as substance abuse, noncompliance, lack of insurance, dysfunctional family dynamics, mental health, financial problems, healthcare illiteracy, unemployment, adjustment to and coping with diagnoses, lack of transportation, abuse/neglect, disability...
Provide supportive interventions that focus on family management including, but not limited to, problem-solving, crisis intervention, conflict resolution, and bereavement.
Coordinate family meetings and participate in end-of-life, goals of care, and compliance discussions.
Identify or connect patient to available support systems that will help the patient in his/her time of recovery and to remain independent and safe at home.
Educate patients and their family about Advance Healthcare Directives and POLST.
Mobilize available community resources to patients such as cancer resources, support groups, free/low-cost health clinics, AIDS/HIV resources, Meals on Wheels, AA/NA/EA, Alzheimer's Association, transportation...
Lead in the proper reporting of suspected abuse / neglect and other government-related reporting such as Child Protective Services, Adult Protective Services, Office of the Public Guardian, Long-Term Care Ombudsman, Community Care Licensing and domestic violence through law enforcement agency.
Represent as a liaison to community agencies and educate them in navigating these resources independently such social services from the Department of Public Social Services including Medi-Cal, SSI, General Relief, CalFresh, In-Home Supportive Services...
Clarify communication barriers between the patient, family and the care team especially involving the understanding of hospice care, palliative care, skilled nursing facility, home health and other levels of care.
Attend the ISP team rounds and participate in interdisciplinary collaborations which include physicians (hospitalists, primary care physicians and specialists), nurses, case managers, pharmacy, administration, and spiritual care.
Act as a consult to the care team in addressing psychosocial barriers to treatment and discharge planning.
Make recommendations that would advocate for the "best interest of the patient."
Communicate with the care team especially the referral source regarding findings, recommendations, and outcomes.
Assist in resolving barriers in complex discharge planning.
Support the care team in assessing psychiatric crisis such as 5150 and referral to the Department of Psychiatry and PET, and assist in placement for psychiatric hold.
Document patient encounter and interventions that assisted in the delivery of patient care on CS-Link and other appropriate case management documentation system.
Develop a case plan that identifies long-term goals and short-term goals with objectives and timeframe, implement, follow-up and evaluate outcomes, and modify goals based on outcomes or changes in influencing factors or available resources.
Review caseloads and record interventions that were performed, compile and present statistical outcomes based on the intervention and identify findings to incorporate in social work practice.
Develop resource hand-outs and education materials to patients/families.
Participate in Inpatient Clinical Workgroup and other committees in the evaluation of inpatient/outpatient case management/social work practices and assist in developing and implementing new or revised workflows, policies and procedures.
Develop and maintain a resource directory that is available to the Department of Case Management and physician's offices.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research... and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.