Outpatient Licensed Clinical Social Worker - USFTGP Physician Services Pediatric Clinic

The Social Worker- LCSW creates optimal outcomes for the patient and family by managing complex psychosocial and economic co-morbidities. Through advanced practice skills mobilizes resources to reduce risk and serves as ambassador between hospital and community. Provides social work services to patients and families to optimize their ability to benefit from treatment, cope with the realities of their medical condition, and participate in their care. Coordinates transitions of care for patients with high psychosocial needs. Develops and maintains current knowledge of and liaisons with local, state, and federal services that may provide education and resources to patients and families. Supports the efforts of HIM and Patient Accounts by ensuring timely, accurate, and complete data entry in multiple information systems/data bases. Ensures understanding through collaboration with Care Coordinator and other interdisciplinary team members for review of multidisciplinary plan of care in patient chart (estimated LOS, tentative discharge date, assessed needs for discharge, and plan discussed with patient/family). Ensures attendance at Multidisciplinary Rounds or Huddles and reports on psychosocial status and its implication for transitions of care. Monitors progress toward the goals of the social work plan of care and revises it in response to changes in patient needs and condition. Assesses any potential obstacles to successful reintegration into the community (clinical, social, support, home environment) and escalates through appropriate channels to resolution. Responsible for performing job duties in accordance with mission, vision and values of Tampa General Hospital.

Essential Functions: 

• Conduct psychosocial assessments, brief crisis counseling, and short-term therapeutic interventions to improve healthcare literacy and address social deficits, with a focus on frequent healthcare utilizers.
• Facilitate complex discharge planning for specialty populations, including Transplant, Oncology, Emergency, Women’s and Children’s, and Psychiatric Social Work.
• Assess high-risk patients through independent case-finding or referrals and develop short-term treatment plans to achieve patient-directed healthcare goals.
• Lead patient and family meetings to address healthcare decisions, discharge planning, and outcomes across the care continuum, from birth planning to end of life.
• Advocate for vulnerable populations by securing charity and financial resources and serving as a subject matter expert on abuse, neglect, intimate partner violence, and human trafficking.
• Provide behavioral health services, including Crisis Intervention, Addiction Assessments, de-escalation techniques, and recommendations for psychiatric or community resources.
• Maintain strong partnerships with community organizations, medical teams, law enforcement, schools, and other agencies to enhance patient and family services.
• Participate in clinical performance improvement initiatives and research.
• Ensure effective transitions of care by completing all required processes.
• Deliver evidence-based psychiatric and behavioral health interventions, including Motivational Interviewing and Crisis Intervention.