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Social Work Services Notes regarding social work referrals: On any ...

Social Work Services Notes regarding social work referrals: On any ...

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<strong>Social</strong> <strong>Work</strong> <strong>Services</strong>Welcome to Ambulatory Care! I am your <strong>social</strong> <strong>work</strong>er for floor 2 and floor 4. Feelfree to call with <strong>any</strong> questions!Your Specialty and Primary Clinic <strong>Social</strong> <strong>Work</strong>er/Case Manager has specializededucation, knowledge, and experience in health care, and will <strong>work</strong> closely with theclinic providers and nurses to help in coordinating the highest standard of care.Your <strong>social</strong> <strong>work</strong>er can provide you with assistance in the following forms:• Supportive counseling(related to new diagnoses, family stressors, mental healthissues, etc.)• Medication access• Insurance education/negotiation• Referral to various government programs and education about criteria forprograms• Transportation to medical appointments• Future planning in regards to medical and financial power of attorney• Dental services• Durable medical equipment and supplies(eyeglasses, walkers, etc.)• Alternative placement such as assisted living, adult home, or nursing homeYour <strong>social</strong> <strong>work</strong> case manager can also assist you in the brokerage role by referringyou to community agencies and providing handouts for these agencies for nonmedically related assistance. The following are some of the examples:• Food• Support groups• Vocational guidance• Housing• Emergency assistanceM<strong>any</strong> of the resources in the community are available in limited quantity and mayrequire multiple identifying forms to show that one meets eligibility criteria.<strong>Notes</strong> <strong>regarding</strong> <strong>social</strong> <strong>work</strong> <strong>referrals</strong>:<strong>On</strong> <strong>any</strong> home health or DME referral, diagnosis is needed. <strong>On</strong> home health,specifics <strong>regarding</strong> wound care, frequency, type of service(RN and/or PT) isneeded. <strong>On</strong> all orders name that is legible and dea # is needed. These canbe written on a Rx pad or order sheet and attached with referral.<strong>On</strong> oxygen orders, they want to have order for oximetry study if patient hasnot had one in past 30 days.


Supportive counseling can be offered, but per my supervisor, this can onlybe offered short-term(approximately 3 or 4 sessions) before a referral ismade out to other agencies.It is VERY IMPORTANT to attach the demographic sheet to each and everyreferral. Although this may not be current, it does give a starting point foraddress, insurance, emergency contact, dob, etc. If you have currentinformation, please write this on either referral or demographic page.<strong>Social</strong> <strong>work</strong> notes will be found under forms in Cerner under progress note<strong>social</strong><strong>work</strong>. These are normally entered within the week. Feel free to callif you do not see a note or something is not clear. There will also be a papernote in chart; those might be under progress note or correspondence section.Things that I can not do:Home visitsProvision for Rx copays and/or transportation homePrior authorizations on meds(due to clinical/medical inventory required)


<strong>Social</strong> <strong>Work</strong> ReferralACC 2 Primary CareACC 4 Specialty Clinic( please circle which clinic)T<strong>any</strong>a McKeithen, LCSWPager 6417Phone 828-7671Date_______________Patient Name:________________________#___________Referring NP/MD______________________#___________________Medical RecordPagerATTACH COPY OF DEMOGRAPHIC SHEET!!!!Referral Type :____ Case Management <strong>Services</strong>:(Housing, financial, medication assistance)_____Mental Health: (Depression, Anxiety, Grief, Family, etc.)_____Substance Abuse_____Other - ___________________________________________________Additional helpful information: ________________________________________________________________________________________________________________<strong>Social</strong> <strong>Work</strong> Objectives:________________________________________________________________________________________________________________________________________________<strong>On</strong> 2 nd floor, place forms in <strong>social</strong> <strong>work</strong> box by front desk or in attending room. <strong>On</strong> 4 thfloor, place in box by office in room 471B. Page me if there’s an emergency. Also,my notes can be found either in the correspondence section of the chart(pink tab) andunder forms in Cerner under clinic visit corresponding to date of referral. Call withquestions.

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