Social Worker 3 (Multiple Positions)

Qualifications

• Required Qualifications
• Master’s Degree in Social Work (MSW) from a program accredited by the Council on Social Work Education (CSWE), or equivalent education accepted by the New York State Education Department for social work licensure.
• Current New York State Licensure as a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW).
• Knowledge of professional social work principles, including psychosocial assessment, crisis intervention, supportive counseling, patient advocacy, and care coordination.
• Knowledge of discharge planning principles, community resources, and social service programs supporting patients and families.
• Ability to assess psychosocial needs, develop appropriate interventions, and collaborate with multidisciplinary healthcare teams.
• Strong interpersonal, communication, organizational, documentation, and problem-solving skills.
• Ability to work effectively with patients and families from diverse socioeconomic, cultural, and clinical backgrounds.
• Ability to maintain patient confidentiality, exercise professional judgment, and carry out responsibilities under appropriate supervision.
• Preferred Qualifications
• 1+ year of professional social work experience in a hospital, healthcare, behavioral health, or related clinical setting.
• Experience conducting psychosocial assessments, coordinating discharge plans, and facilitating transitions of care in an acute care hospital.
• Experience providing crisis intervention, grief and bereavement support, and counseling to patients and families with complex medical or psychosocial needs.
• Experience with pediatric, adolescent, adult, geriatric, or other specialty patient populations.
• Knowledge of Medicare, Medicaid, managed care, and healthcare coverage requirements relevant to discharge planning and access to services.
• Familiarity with federal and New York State healthcare regulations, mandated reporting requirements, and The Joint Commission standards.
• Experience collaborating with community organizations, protective services agencies, and post-acute care providers.
• Experience using electronic medical records (EMR/EHR) for clinical documentation and care coordination.
• Certified Case Manager (CCM) credential.

Duties

Preferred Qualifications

• 1+ year of professional social work experience in a hospital, healthcare, behavioral health, or related clinical setting.
• Experience conducting psychosocial assessments, coordinating discharge plans, and facilitating transitions of care in an acute care hospital.
• Experience providing crisis intervention, grief and bereavement support, and counseling to patients and families with complex medical or psychosocial needs.
• Experience with pediatric, adolescent, adult, geriatric, or other specialty patient populations.
• Knowledge of Medicare, Medicaid, managed care, and healthcare coverage requirements relevant to discharge planning and access to services.
• Familiarity with federal and New York State healthcare regulations, mandated reporting requirements, and The Joint Commission standards.
• Experience collaborating with community organizations, protective services agencies, and post-acute care providers.
• Experience using electronic medical records (EMR/EHR) for clinical documentation and care coordination.
• Certified Case Manager (CCM) credential.

Responsibilities

• Assist the social worker in overall coordination for mental health and social services for patients of SUNY Downstate Primary Care Ambulatory Care Department
• Assist the medical team with assessing the psychosocial needs of patients and refer them to appropriate social services and behavioral health services. internal or external, as needed
• Engage family members/caregivers to discuss patient status and provide supportive counseling and guidance where indicated.
• Assist patients with obtaining durable medical equipment, medications, medical supplies and all -other services that will improve patient home environment and self-management abilities.
• Connect and reconnect patients to long term care services such as Managed Long-term Care Plan (MLTC), FIDA, MAP, HARP programs.
• Collaborate In a team-based care model with all members of the patient care team including PCPs, nursing, behavioral health and support staff.
• Receiving warm hand offs from PCPs, nurses and other clinicians.
• Providing feedback to PCPs on a regular basis In regards to the status of the patient and all Interventions provided.
• Conduct a face to face and phone contacts with patients
• All other tasks as assigned