Licensed Master Social Worker (LMSW) Skills Checklist

Requested by:

Requested by email:

Today's Date: * +

First Name: *

Last Name: *

Mobile Phone Number: *

Email Address: *

Confirm email: *

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS:

Proficiency

I have never done the stated task.
I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient.
I have performed the task/skill several times and feel moderately comfortable functioning independently but would require a resource person nearby.
I have performed the task/skill frequently and would feel very comfortable and proficient performing it without supervision or practice.

Frequency

5 or less Annually
5 or less Quarterly
3 or less Monthly
1 - 5 times Daily/Weekly

ESSENTIAL RESPONSIBILITIES *

	SKILL		FREQUENCY
Facilitate all screening, assessments, and orientation of program enrollees for proper placement into EBS Programs
Assist individuals to enroll into funding sources to obtain proper services
Offer benefits counseling and assistance
Oversee supported employment staff in absence of Employment Service Manager or as signed by Regional Director or Designee
Provide complete screening , assessments, intakes, and orientation activities for prospective EBS program enrollees
Prepare client clinical formulations and submit to appropriate referral sources
Complete and submit initial authorization and registration forms and habilitation plans, in order to start services as applicable
Prepare and submit all billing/reporting forms and other relevant reports
Prepare and submit all billing/reporting forms and other relevant reports in a timely manner
Engage individuals to participate in individualized and group counseling, as needed
Provide comprehensive support services to job seekers before and after placements and to employers of people supported
Conducts job clubs/career development workshops and oversee provision of proper pre-employment services to job seekers in EBS programs
Provide mental health counseling to clients
Develop treatment plans
Provide crisis intervention services
Instruct staff in appropriate techniques for handling behavior management issues
Conduct Social Worker tasks for OSY Programs, as needed
Direct clients to other areas of assistance and give them the tools they need to find the right treatment or assistance
Instruct families of clients during treatment
Counsel families
Fill in Employment Service Manager or Program Manager in their absence, as requested

PATIENT RIGHTS/COMMUNICATING WITH PATIENTS *

	SKILL		FREQUENCY
Communicates and obtains information while respecting the rights and privacy and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient and family's needs regarding communication, including interpreter services

INFORMATION RESOURCES *

	SKILL		FREQUENCY
Document (accurate, timely, complete, and legible)

EQUALITY AND DIVERSITY *

	SKILL		FREQUENCY
Promote equality and value diversity

AGE SPECIFIC COMPETENCIES *

	SKILL		FREQUENCY
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

Attestation

ATTESTATION: *

I certify that the information provided above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *