Social Work Specialist | Henry Ford Health Southfield, MI, US

Job Details:
General Summary:
The Social Work Specialist will promote the Patient Self-Determination Act (PSDA) for HAP members through focused counseling on Advance Directives. . The Social Work Specialist supports and maintains the psychosocial health of members through assessment and resource coordination. The Social Work Specialist provides basic casework and consultation for members and facilitates communication between members, their family, and applicable healthcare and community resources.
Principal Duties and Responsibilities:
* Assesses and counsels applicable members regarding Advance Directives and their options to document their wishes and encourages members to prepare and complete Advance Directives and document within their medical record.
* Assist and counsels members enrolled in a Case Management program with health related financial, social and emotional concerns
* Provides consultation to the Case Managers regarding the impact of psychosocial factors on illness.
* Evaluates client's medical and social needs and develops plan of care/goals appropriate to findings.
* Monitors patient/family/caregiver ongoing functional/psychosocial status. Acts as an advocate for the member and family throughout the entire episode of care.
* Instructs members/families/caregivers on community resources, facilitates referrals as appropriate and maintains availability to the member/family as a resource for communication with community agencies and to monitor services rendered.
* Collaborates with the HAP Medical Director, primary care physician, home care nurse, social worker, and other members of the multidisciplinary care team to effect timely, appropriate care coordination to ensure desired outcomes are achieved.
* Enters data into clinical/psychosocial assessment tools designed to compile member data and assist with measuring outcomes.
* Ensures and enters documentation of social work case management activities in a timely manner and in accordance with professional standards to ensure member continuity of care and meet regulatory requirements, using appropriate computer applications.
* Effectively communicates with internal and external customers, establishing and maintaining positive relationships.
* Proactively initiates interventions designed to optimize patient outcomes /goals and address barriers.
* Utilizes problem-solving techniques and conflict resolution skills. Identifies and manages problem cases. Effectively communicates with individuals, departments and other entities for timely resolution of the identified problems
* Maintains strict confidentially standards for the member's information. Complies with organizational, federal, and state regulations and policy on confidentiality.
* Performs other related departmental duties as assigned...
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