Employment Type: Full time Shift: Description: POSITION PURPOSE The Medical Oncology Social worker will provide psychosocial assessments and interventions to patients with cancer and their families in an outpatient medical treatment clinic. Skills required include adjustment to illness clinical assessment and counseling, community resource and referral expertise, ability to develop and lead support groups, program planning and evaluation of Medicare, Medicaid and current health system issues. REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE Master's degree in social work or psychology from an accredited graduate school. Oncology social work experience with interdisciplinary medical teams and oncology social work certification (OSW-C) highly preferred. Current State of Michigan master’s degree social work license or LLMSW required. Must obtain LMSW as prescribed by the State of Michigan licensing board. Six to twelve months related experience preferred. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Functions as a member of the interdisciplinary care management team. Interviews patients and families to obtain psychosocial data. Evaluates and gather data from the patient, family, outpatient supports and other collateral sources (including the primary care provider) regarding plan of treatment and available resources and develops an appropriate intervention plan. Provides a variety of direct services and clinical interventions in order to provide continuity of care and to help patients and families resolve socio-emotional problems associated with adjustment to illness, resource needs, mental health problems and a variety of life events and transitions. Coordinates care of identified high-risk patient population across continuum, specifically addressing psychosocial issues. In collaboration with patient, family a primary care provider, develops plan to address and manage issues which influence health care utilization including services for home as well as facilitates hospital-to-hospital transfers, hospice, extended care facility, acute rehabilitation and long-term care facility placement. Refers patients to designated community agencies or resources for financial assistance, counseling, mental health and substance abuse follow up, and other support services. Conducts continuity of care planning for assessing needs support services for home as well as facilitates hospital to hospital transfers, hospice, extended care facility, acute rehabilitation and long-term care facility placement. Provides ongoing assessment of educational needs of patient/family in collaboration with interdisciplinary staff and develops appropriate interventions and programs in response and maintains good working relationships with community resources. Demonstrates ability to make appropriate and useful changes in the patient’s treatment plan when problems persist and recognizes when discharge and/or transfer of care is in the best interest of the patient. Advocates, educates, and facilitates resolution of patient rights, ethical and legal issues such as advance directives, end of life decisions, guardianship, etc. Systematically identifies and addresses barriers and fragmentation of care while proactively/collaboratively problem solving to find solutions. Documents social work assessment data and progress notes for each patient including nature of psycho-social concerns, patient and family supports and needs, and intervention plan in accordance with department documentation standards. Provides consultation to other patient treatment team members regarding socio-emotional factors that affect patient’s condition, treatment plan and recovery. Regularly communicates with other departmental and community agency personnel to coordinate social work functions and other services, exchange patient information, and ensure continuity of care. Utilizes pertinent population data to identify trends, potential areas of targeted intervention. Uses metrics to establish measurable goals and monitor outcomes. Uses professional expertise to advance policies and practices that improve access to care, ensure timely follow-up care and supports the delivery of evidence-based clinical management. In conjunction with identified leadership, develops implements and monitors clinical quality improvement processes within a specific population and/or program. Regularly prepares and presents written reports that track, monitor and measure outcomes of interventions to address patient/population needs and identify and remove barriers. Provides Social Worker leadership in related committees, task forces and work groups with a focus on improved health outcomes for the populations served. Serves as a change-agent and resource to foster adoption of process/service/system improvement initiatives at various points of services. Serves as an advisory role for social policies in community development programs. Understands legal issues that affect treatment, including but not limited to: child custody, divorce laws, child/adult abuse, duty to warn, recipient rights policies and procedures, alternative treatment orders (ATO’s), and the commitment of inpatient hospitalization. Maintains knowledge of current trends and developments in the field. Assists other Health Center department and staff develop and implement new patient care programs and modify existing programs to meet the needs of patients and families. Conducts educational and orientation programs for staff, students, and other Health System employees. Attends and participates in departmental, Health System, and community committees and meetings as necessary. OTHER FUNCTIONS AND RESPONSIBILITIES Performs other duties as assigned. REQUIRED SKILLS AND ABILITIES Interpersonal skills necessary in order to obtain information, provide counseling, and interact effectively with patients, families and colleagues. Analytic skills necessary in order to assess patients’ needs develop associated discharge planning and provide sound advice and guidance. Ability to concentrate and pay close attention to detail for up to 90% of work. Must be mobile enough to move between nursing units and outpatient settings and in/out of patient rooms and offices. Demonstrates successful and progressive leadership and initiative. Demonstrates consistently high levels of clinical competence with demonstrated ability to provide clinical interventions at the individual, family, group, system and community level. Ability to function effectively within a multi-disciplinary team. Demonstrated ability to successfully provide quality patient care considering age specific, developmental and cultural needs. Demonstrates unit/area competencies. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.