Medical Social Worker Skills & Experience Checklist

Personal Information

Please fill the Recruiter Email correctly for successful application submission.

Candidate Name

Email of Recruiter / POC

Select Submission Date

SSN (Last 4 digits)

Proficiency Scale & Legend

1 Cannot Perform Skills Independently

2 Requires Some Assistance to Perform Skills

3 Can Perform Skill Independently

4 Not Applicable

Skills

Demonstrates knowledge and skill to perform psychosocial assessments and reassessments

Demonstrates knowledge and skill to determine the patient\'s discharge planning needs

Involves the family/caregiver in the patient\'s plan of care and discharge planning

Keeps informed about new and existing community resources

Maintains, updates community resources file

Demonstrates the ability to act as a liaison between patients, the facility, and the community

Demonstrates the ability to aid patients and/or families with personal and social difficulties that predispose illness or interfere with obtaining maximum benefits from medical care

Demonstrates the ability to refer patients to appropriate resources in the community

Demonstrates ability to educate the patient and/or family concerning Medicare, Medicaid and private insurance issues

Demonstrates a good working relationship with outside agencies, skilled nursing facilities and acute care hospitals, etc.

Demonstrates thorough understanding of local, state, federal regulations accrediting organization standards and NASW

Alcohol/Substance Abuse Issues

Religious and Spiritual Needs

Cultural and Ethnic Adaptations

Counseling Services

Skilled Nursing Facility Referral Process

Assisted Living Referral Process

Transfer Process

Patient and Family/Significant Other Education

Develops/Describes Components of Special Education Program

Demonstrates knowledge of and describes components of comprehensive Medical Social Worker assessment.

Able to verbalize frequency of Social Worker Assistant supervisory visits.

Demonstrates Strong, Accurate Decision Making Capabilities

Demonstrates competence in reporting victims of abuse according to applicable standards and state and local laws.

Each visit reflects the provision of medical social work modalities rendered in accordance with the physician\'s orders and patient care plans.

Performs Interventions as per Plan of Care

Social services reflect compliance with accrediting organization, federal, state, facility and reimbursement regulations.

Visits are provided in compliance with frequency and duration ordered on the plan of care.

Patients are notified of the visit schedule and any changes to the schedule.

Documentation reflects patient collaboration and participation in the development of their plan of care.

Requests for modification of orders or additional orders are made based on the patient\'s clinical status and skilled social work judgments.

All physician collaboration is documented in the medical record.

Appropriate utilization of all available services is demonstrated and documented.

Participates in Interdisciplinary Team Meetings

Daily itineraries, admission/paperwork, clinical notes and discharge summaries are completed and submitted per facility policy and procedure.

Stays informed about new and existing community resources

Demonstrates knowledge of infection prevention and control policies and procedures, i.e., Standard Precautions, Transmission-Based Precautions, personal protective equipment, aseptic technique, hand hygiene

Demonstrates knowledge of and follows organization policies regarding the applicable National Patient Safety Goals

Demonstrates knowledge of the facility\'s Emergency Operations Plan

Demonstrates knowledge of HIPAA regulations

Demonstrates competency in the knowledge of the delivery of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors

Demonstrates the knowledge of proper identification and reporting of medical/health care errors. Protects the patient in the event of a medical/health care error and, as appropriate, assists in medical/health care error resolution

Demonstrates knowledge and ability to use the organization’s Electronic Health Record (EHR) system

Neonatal Assessments - High Risk Psychosocial Issues:

Family planning

WIC

High-risk follow-up

Housing

Financial aid

Education Takes Into Consideration:

Language barriers

Physical challenges (hearing/sight)

Education level and reading skills of patient/family/significant others

List Criteria For Identification Of Abuse Victims:

Infant/child

Adolescent

Elderly

Domestic abuse

Fiduciary

Neglect

New Problems, Changes In Problems And/or Resolution Of Problems Are Identified And Followed Through With:

Case Manager/Supervisor Notification

Physician Notification

Documentation on Clinical Notes

Documentation - Progress Notes:

Assessment of the situation

Adjustment to the illness and facility care/services

Possible solutions, options

Action taken

Disposition of case

Any social therapy/rehabilitation provided to patient and/or family

Follow-up notes

Documentation complete and appropriate in the medical record

Each entry is legible and authenticated

Maintains statistical data

Care Plans:

Modifies the care plan to reflect changes in patient clinical status and/or needs

Reviews and documents review of care plans per facility policy and procedure

Uses only facility approved abbreviations

Facility Environment - Able To Locate And/or Demonstrate Knowledge Of:

facility directory

Physician directory

Telephone system

Beeper system

Fax

Computer system

Charge system

Fire Equipment

Alarms

Fire extinguishers

Exit doors

Facility Organization - Able To Describe Roles And Functions Of:

Administrator

Patient Care Services Director

Medical Director

Physicians

Clinical Supervisor

Ethics Committee

Intake Nurse

Case Manager

Aides

Other

Facility Resources - Able To Locate And/or Demonstrate The Use Of:

Policy and Procedure Manual

Fire/Safety Manual

Emergency Management Manual

Safety Data Sheets (SDS) Manual

Infection Prevention and Control Manual

Patient Teaching Aids/Materials

Exposure Control Plan

Community Resources File/Manual

QAPI Documentation

Corporate Compliance Program/Manual

Other

Facility Routines - Able To Describe, Locate And /or Demonstrate Knowledge Of: Communication System

Demonstrates understanding of the principles of information management

Bulletin boards

Logbooks

Meeting minutes

Ordering supplies

Cultural Factors:

Religion

Food preferences

Family/community relationships

Healthcare attitudes/understanding

Trust/privacy needs

Socioeconomic environment

Skilled Environments

Acute Care/Hospital

Managed Care

SNF/Long Term Care

Home Health

Outpatient

Other (Specify):

Age Speciﬁc Competencies

Infant (Birth - 1 year)

Preschooler (ages 2-5 years)

Childhood (ages 6-12 years)

Adolescents (ages 13-21 years)

Young Adults (ages 22-39 years)

Adults (ages 40-64 years)

Older Adults (ages 65-79 years)

Elderly (ages 80+ years)

I have filled out this skills checklist to the best of my knowledge and agree that all the information provided is correct, and that any misrepresentation or falsification of fact may be considered sufficient cause for immediate dismissal from the agency.