Hospice Home Social Worker, Full-time

Job Summary

This can be a full-time professional position responsible for planning and implementing a plan of care in accordance with the patient’s wishes to address the patient and family’s social, emotional and practical needs in order to affect satisfactory outcomes for coping with the patient’s illness. The schedule for this position is Monday-Friday 10am-6:30pm.

Responsibilitieswhat you do

• Assist with referral intake and processing for direct admissions to Hospice Home.
• Provide facility tours and patient/family education as needed.
• In collaboration with the primary care team provide an initial comprehensive psychosocial assessment of patient/family within 48 hours of request.
• Develop, coordinate, and implement a plan of care in collaboration with patient, his/her significant others, and members of the interdisciplinary group (IDG) that focuses on the holistic needs of patient.
• Re-assess patients and their significant others to evaluate the effects of interventions and to identify new and/or unresolved problems.
• Provide psychosocial counseling and crisis intervention as necessary to develop patient and family’s coping abilities, to strengthen family support system and to prove emotional support.
• Complete accurate and timely documentation of all patient/significant other interactions, interventions, and updates to plan of care according to the standards of this agency.
• Educate patient and/or significant others on psychosocial issues at end of life.
• Coordinate the referral to and the appropriate utilization of Transitions LifeCare and other community resources.
• Actively participate in IDG meetings and provide education to team members regarding family systems theory, successful coping strategies and community resources.
• Act as an advocate for the right of those with life-limiting illnesses by initiating and facilitating discussion of advanced care planning.
• Complete bereavement risk assessment and make bereavement phone calls to key bereaved following the death of each Hospice Home patient.
• Coordinate discharge planning when appropriate.
• Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities
• Participate in regular supervisory conferences; keep current with social work and health care developments and seek to increase further enhancement of job related knowledge.
• Maintain patient confidentiality at all times.
• Comply with agency social work standards.
• Will coordinate with clinical Social Worker as indicated.
• Perform other duties as assigned by supervisor.

Requirements what you need

• Master of Social Work from an accredited university required
• 2 years-experience in hospice or working with end of life preferred
• LCSW preferred
• Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.
• Strong commitment to agency wide DEI improvement efforts
• Competent computer skills
• Must have reliable transportation.
• May be required to lift and/or carry items up to 25 pounds.
• Must have sensory abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job.
• Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients and families