Utilizing clinical knowledge and skills, Social Workers develop collaborative relationships with aging patients and their families to promote patient-centered goals. In this role, the Social Worker will facilitate psychosocial assessments of the emotional, physical, cognitive, psychosocial and behavioral needs of patients and their families. As an integrated member of the interprofessional team, the Social Worker will provide discharge planning, referrals and resource navigation, advanced care planning and counseling to patients and their families, with a focus on ensuring successful transitions in care for patients with responsive behaviors, Dementia and mental health needs. The Social Worker will facilitate referrals to Ontario Health at Home, along with community resource navigation as required, working closely with the Virtual Behavioral Medicine (VBM) and Behavior Support Ontario (BSO) teams. The Social Worker in this position demonstrates a high degree of practice excellence has experience working with responsive behaviors and Dementia and functions as a clinical resource for the interprofessional team as well as the patient and family. This position reports directly to the Manager and Interprofessional Practice Chief for Social Work, and involves cross-coverage across the inpatient Hospital units.
Responsibilities include but are not limited to:
Provides pre-admission psychosocial assessments as well as ongoing crisis intervention, discharge planning and counseling to patients and their families, including advanced care planning and end-of-life care, primarily with patients with responsive behaviours and mental health needs
Provides support/consultation to other disciplines on the team re: psychosocial issues, particularly related to complex patient/family situations and responsive behaviours
Acts as the team expert on discharge planning and patient flow, including reviewing referrals and liaising with VBM
Acts as a linkage and communication conduit between the family and the care team
Establishes community linkages and outreach with relevant agencies and other Baycrest programs and services, including VBM and BSO
Participates in teaching and other student supervision activities for health professional students assigned to this unit
Qualifications include but are not limited to:
Masters of Social Work degree
Current and valid registration with the Ontario College of Social Workers and Social Service Workers ('OCSWSSW')
Experience in Mental Health preferred
Experience with Responsive Behaviours preferred
Experience in discharge planning and system navigation preferred, including knowledge of VBM and BSO
Experience working in a healthcare setting or mental healthcare setting preferred
Excellent interpersonal, communication and problem-solving skills
Basic computer skills - Meditech, Microsoft Word and Excel, RM&R preferred
Additional Benefits:
Vacation Entitlement on pro-rated basis
Opportunity to enroll in the extended health and dental benefit plan
Opportunity to enroll in the Healthcare of Ontario Pension Plan (HOOPP)
Access to 24/7 Employee Assistance Program
INTERNAL APPLICANTS:
Current Baycrest employees must apply online through the Baycrest intranet. Applications submitted through the external careers website will only be considered after the internal application process. If you are a current employee and are unable to access the intranet, please contact Human Resources for assistance.
EXTERNAL APPLICANTS:
Please submit your application online by clicking the Apply button below.
Remarkable people of Baycrest Health Sciences
are changing the future of brain health and aging.
Thank you for your interest in joining Baycrest. Only those selected for an interview will be contacted.
Baycrest is committed to providing accessible employment practices that are in compliance with the Accessibility for Ontarians with Disabilities Act ('AODA'). If you require accommodation for disability during any stage of the recruitment process, please notify Human Resources at recruitment@baycrest.org or 416-785-2500, ext. 2961.
All successful candidates will be required to complete a police reference check/vulnerable sector screen.
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