Social Worker Geriatric Ambulatory Care at Mount Sinai Health System

DescriptionJob Title: Social Worker - Geriatric Ambulatory Care Social Work Services at the Mount Sinai Hospital The Mount Sinai Hospital is a 1134-bed facility with an extensive outpatient and specialty care network and is the largest hospital in the Mount Sinai Health Care System. It offers comprehensive social work services and programming to meet the myriad needs of the diverse populations we serve. We believe that total patient care must emphasize the physical emotional and social needs of each patient and their care partners. Social Workers collaborate within interprofessional teams to serve patients and the larger community from both a micro and macro level including both direct care and prevention. Founded in 1907 the Department of Social Work Services at the Mount Sinai Hospital is one of the oldest hospital social work departments in the nation with over 450 licensed social workers employed across more than 65 different program/service areas. Employment in our department provides a pathway to LCSW licensure as well as access to a broad range of continuing education professional development and extra-curricular opportunities.Mount Sinai Health Partners (MSHP) is the management services organization developed to implement the Health Systems population health initiatives: programs of care that enhance the individual patients experience and health status improve the health of patient populations and reduce utilization and healthcare costs. MSHP provides the infrastructure and machinery to support population health initiatives particularly preventive care through care coordination information technology workflow optimization and quality reporting. The Department of Social Work Services is positioned to take a lead role in the development of MSHP by providing transitional and longitudinal care coordination services.ResponsibilitiesThe Martha Stewart Center for Living practice embedded social worker is an integral member of an interdisciplinary team providing episodic care to geriatric patients with a range of psychosocial needs. The social worker conducts brief biopsychosocial assessments of patients and their caregivers and based o that assessment works to connect the patient and caregiver to resources to address the identified SDH needs. Reasons for referral include: mental health issues such as depression and dementia; patient safety; functional issues requiring homecare to assist with ADLs/IADLs; medication and medical regimen adherence; patient access to care including transportation; insurance/financial issues; caregiver/family stress; end of life issues; and elder abuse among others. Types of supportive intervention include: face-to-face meetings; follow-up phone contact supportive counseling; patient advocacy; referrals for community services; engagement with insurance providers; APS referrals; provision of resources; referral for ongoing case management.This position is ONSITE and is based at Martha Stewart Center for Living (MSCL) the Mount Sinai Hospital Campus and focuses on geriatric patients and their families.QualificationsNYS LMSW or LCSW.Exceptional skills in engaging patients/families and in assessment and coordination of resources.Exceptional organizational collaborative and psychosocial assessment and intervention skills.Hospital experience and experience with geriatric patients preferred.Proficiency in MS Office: Word Excel Outlook. Ability to learn hospital ambulatory scheduling system electronic medical record and specific care coordination applications.Bilingual (English/Spanish) preferred.Minimum one year in current position.Non-Bargaining Unit 096 - Social Work - ISM Icahn School of Medicine Care Management Health Home Key Skills Motivational Interviewing,Acute Care,Crisis Intervention,Behavioral Health,Intake Experience,Hospice Care,Case Management,Home Care,Child Welfare,Experience with Children,Social Work,Addiction Counseling Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 85280 - 97760