USA - MA - Cambridge
USA - MA - Boston
Raleigh, North Carolina
USA - MA - Allston
Geneva, New York
New York, New York
Location: Portland, Oregon
Internal Number: 18993
This position is located within the Clinical Transplant Department. For more information, visit our website at www.ohsu.edu/transplant.
This Medical Social Worker, as a member of a multi-disciplinary team supporting kidney and pancreas transplant patients, has the primary responsibility for assessing, counseling, information/referral dissemination, crisis intervention, patient advocacy and associated services to patients, families, and involved parties/agencies. The efforts are directed at assisting the patient/family in all phases of transplantation, including adjustment to illness, injury or disability, hospitalization or other treatment, and readjustment to the community upon facility discharge. The department has corresponding teaching and research functions related to health and healthcare delivery practices. The Medical Social Worker provides direct intervention on an as-needed basis with transplant patients and/or families. The Medical Social Worker is expected to meet national regulation and department policy requirements. The Medical Social Worker is expected to practice in accordance with performance standards, core values and with a commitment to service excellence. This position may also cover pediatric kidney, liver, and MCS/heart transplant populations.
Psychosocial Assessment Engages in case finding and conducts interviews with patients, patients' families, and other appropriate resources to gather information necessary in identifying/ evaluating the psychosocial, cultural, and financial conditions of patients referred by agency staff, community professionals, families or other sources; prepares assessments regarding patient functioning capacity (including behavior, coping abilities, and attitude toward illness, injury disability, and/or hospitalization) and support systems available for treatment planning; provides in-depth consultation to community professionals, agency staff, or other persons seeking guidance in meeting patient needs; may complete daily rounds and conduct chart reviews to determine patient needs or problems on assigned unit; may participate in treatment team meetings with various health care staff, to provide psychosocial assessments which are used in establishing treatment goals or in discharge planning.
Patient Services Assesses patient/family support needs, advocacy, and associated services; refers patient/family to outside resources for assistance (such as financial, vocational schools, transportation, insurance, housing, medicine, etc.) and assists family in gaining access to resources; develops discharge plans emphasizing continuity of care, appropriate placement and maximum use of appropriate resources; serves as advocate for the patient within the medical setting and the community, including advanced directive planning, etc.; maintains knowledge of community resources for patient care; may interact with Medical Social Service Specialists to insure delivery of specific patient-care services.
Counseling Provides short- and long-term counseling to patients and/or their families; provides supportive counseling to reinforce patients' strengths and assist them in dealing with the stress and feelings of grief, fear, and anger associated with serious illness, injury, hospitalization, actual/pending death of patient/family member, chronic/acute stress associated with life circumstances and loss of independence associated with illness or disability.
Medical Record Documentation All key patient information will be documented in the patient EMR; work list/notebooks will be purged utilizing confidential recycling policies; maintains accurate documentation of patient care activities in timely manner per institutional and departmental policies through each phase of transplant.
Clinical Performance Communicates in a respectful, caring, and non-judgmental manner; demonstrates fiscal accountability and effective use of resources; incorporates quality improvement practices into performance; incorporates the principles of OHSU's Mission Statement into performance; monitors and supports patient and family centered care across the continuum of care through service coordination; performs requirements as outlined in the Compliance section of the Core Competencies; adheres to the OHSU Code of Conduct; identify and prioritize pain and comfort care while adhere to the OHSU policy for Pain Management.