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Provides on-going comprehensive psychosocial assessment and counseling services to chronic disease patients and their families to promote their quality of life.
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Completes mental health evaluations and makes diagnosis and recommendations as appropriate.
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Completes biopsychosocial assessments to determine a patient’s appropriateness for medical interventions.
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Provides casework services including counseling and conferences with patients, families, and support networks; crisis intervention goal-directed counseling; and discharge planning.
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Provides outpatient therapy focused on education, emotional support, self-help, chronic illness, etc. Maintains a small outpatient caseload as needed by identification of patient needs.
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Provides mediation between patients, families, and staff.
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Facilitates community agency referrals.
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Collaborates with schools and employers to provide medical accommodations for patients and their family.
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Participates in interdisciplinary care planning and collaboration.
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Completes needs assessments and provides resources/ intervention as appropriate.
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Advocates on patients' behalf within the setting and with appropriate local, state and federal agencies and programs.
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Provides ongoing patient and family education throughout all phases of care. Participates in team review of patient status and makes recommendations based on patient's current psychosocial needs.
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Collaborates with other hospitals, and programs related to chronic illness or medical need in order to affirm best practice and maximize support.
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Maintains social work recording and statistics as applicable and participates in QI activities.
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Conducts annual patient satisfaction and quality of life surveys as directed.
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Completes transition to adult care as directed by and with the medical team.
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Provides travel, accommodations, and additional support to families traveling from outside of the area to obtain medical care.
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Engages in community/ hospital activities to promote chronic illness awareness.
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Participates in professional diagnosis specific social work organizations and in other community organizations/activities serving specialty patient population.
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Keeps abreast of research/literature/developments in disease management social work and attends appropriate continuing education institutes and conferences.
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Nephrology responsibilities:
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Adjustment to chronic illness and treatment as they relate to the patient's quality of life.
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Physical, sexual, and emotional relationship problems.
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Educational, vocational, and activity of daily living problems.
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Conflict resolution.
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Problems related to treatment options and setting transfers.
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Resource needs, including finances, living arrangements, and transportation.
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Decision making with regard to advance directives and end of life care.
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Additional responsibilities within the hospital:
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Precepts and provides orientation support to new staff.
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Supports our intern program as well as taking on supervisee’s and residents once certified as a LCSW supervisor.
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Provides coverage to specialty medical clinic, inpatient, and crisis needs as per Hematology/Oncology Director.
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Completes billable mental health assessment, follow up, and ongoing care.
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Functions in an on-call capacity as needed for the Hematology/Oncology Division.
