Department/Unit:

Work Shift:

Salary Range:

Essential Duties and Responsibilities

• Works with the Primary Care clinical team to develop a safe and timely transition of care plan.
• Serves as the lead in coordinating care between the patient and external resources needed within the community.
• Help create function and productivity on the many teams to which the SW belongs, facilitating the resolution of conflict to present a united message to patients.
• Acknowledge issues of diversity and adjust practice accordingly.
• Works with people and agencies in the community to improve responsiveness, capabilities, alignment, and evaluation of services to patients and families.
• Base individual practice patterns on a sound knowledge base of social work principles and methodologies, social work policies, and the NASW Code of Ethics.
• Demonstrate flexibility in providing department coverage as needed, including possible modification of role, responsibilities, and assigned caseload.
• Completes initial screen of patients and families and a comprehensive psychosocial assessment of patients.
• Assists patients and families in communicating with treatment team.
• Provides crisis intervention.
• Advocates for patient care.
• Coordinates continuity of care planning in conjunction with Primary Care clinical team.
• Educates patients on levels of care; acute, sub-acute, community services and resources.

Qualifications

• Master's Degree of Social Work degree from an accredited school of Social Work Program - required
• 1-3 years as graduate student or as a social worker with experience in the field of Clinical Social Work with experience in care transitions. - required
• Ability to create collegial and collaborative relationships internally and externally.
• Knowledge of accreditation standards, health care regulations, performance improvement and patient safety.
• Effective organization, oral and written communication skills, problem solving, program development and computer skills.
• Knowledge of health care law and regulations related to acute care and the immediate post-acute continuum
• Ability to complete a psychosocial assessment, risk factor analysis, treatment planning, and models of intervention
• LMSW - Licensed Medical Social Worker - State Licensure - required

Physical Demands

• Standing - Constantly
• Walking - Constantly
• Sitting - Rarely
• Lifting - Frequently
• Carrying - Frequently
• Pushing - Occasionally
• Pulling - Occasionally
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping - Frequently
• Kneeling - Frequently
• Crouching - Frequently
• Crawling - Occasionally
• Reaching - Frequently
• Handling - Frequently
• Grasping - Frequently
• Feeling - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordination - Constantly

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Constantly
• Hazards - Frequently
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Med Health System!​

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.