Remember when you said you wanted to make a difference? Here is your chance.

Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic opportunity available with one of the best places to work in Southern California! We would be happy to hear from you.

The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians deliver care to all their patients, who benefit from convenient access to Physicians and coordination of care between them. As a part of Cedars-Sinai, our physicians and staff are partners in quality health care from a medical center that is consistently recognized as one of the finest hospitals in the country. For the 8th consecutive year, we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates (IHA).

The Clinical Social Worker, MSW is responsible for the development, planning, implementation, and evaluation of all social service-related interventions for corresponding Department/s. Is responsible for identifying patients who have psycho/social needs on an inpatient or outpatient basis. Is responsible for developing patient care goals and treatment plans as agreed upon by the patient's care team. Is also available to physicians and nurse case managers as a consultant for those patients with complex psychosocial needs and advance care planning.

• Evaluates and implements social service programs for patients with psycho/social issues focusing on seniors, catastrophic and chronically ill patients.
• Develops social service documentation tool/templates in EMR for Social Work consults, family counseling and group sessions and IS reports for outcome measurements.
• Performs triage for patients within corresponding team(s) and assists in coordinating patient care delivery, including DPA/POSLT and documents pertinent information in the case management system.
• Implements transitions of care between inpatient and continued outpatient follow up and vice versa.
• Initiates team care conference to include patient, family and care providers.
• Evaluates daily caseload and assess achievement of long and short term goals; Modifies goals with providers and care team based upon patient outcomes.
• Compiles and presents statistics and reports relating to patient outcomes and document findings in the patients EMR.
• Follows up on communication to the referral source, IE, PCP, family member, case manager, home health personnel, community social worker, Health Plan, etc.
• Acts as the social services liaison for the department, particularly in the areas of: Advance Care Planning discussions, Complex discharge planning, Biopsychosocial assessments.
• Refers patients to agencies that provides supportive services optimizing patients health plan benefits.
• Assists in arranging community resources (i.e. meals on wheels, transportation services, adult day care, and info-line) and in the long term planning for patients transitioning to institutional setting.
• Provides alternatives for patients requiring specific services.
• Acts as the liaison to Population Health department in regard to chronic disease state management programs.
• Assists in the development and implementation of new policies and procedures for the department.
• Participates in advance care planning initiatives

• Master's Degree in Social Work required

• 2 years of experience in clinical social work experience including palliative or hospice care, and discharge planning, with experience in project management preferred.

• Licensed Clinical Social Worker (LCSW) preferred