Community-based Hospice Social Worker, Full-time
Join to apply for the Community-based Hospice Social Worker, Full-time role at Transitions LifeCare
Community-based Hospice Social Worker, Full-time
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Join to apply for the Community-based Hospice Social Worker, Full-time role at Transitions LifeCare
Job Summary
This is a full-time position. This position is responsible to provide social work services for an assigned patient caseload, to facilitate patient admissions and/or initial psychosocial assessments, and/or to make visits on an assigned basis across Transitions service lines as directed by the Team Leader.
The schedule for this position is Monday-Friday 8:30am-5:00pm; one major or two minor holidays per year; on-call rotation.
- Provide psychosocial assessments of patients and families to identify emotional, social, cultural, financial and environmental strengths and problems related to their diagnosis, illness, treatment, and life situation.
- Support patient/family’s individual spiritual/cultural beliefs by assessing for cultural issues; developing culturally sensitive care plan and collaborating with interdisciplinary team in provision of culturally sensitive care.
- Formulate, develop, and implement a comprehensive psychosocial plan of care utilizing appropriate clinical social work treatments and intervention, while maintaining the dignity of the patient.
- Responsible for documenting assessments, care plans, interactions, and interventions according to regulatory standards and agency standards for service lines associated with the identified patient.
- Maintain awareness of patient payer source and assist the finance department in collecting accurate insurance information, including facilitating self-pay patients through the appropriate financial screening process (i.e. Medicaid, Charity Care,).
- Educate patients, families and referral sources on various levels of hospice care.
- Maintain a working knowledge of the Condition of Participation (COP’s) and other regulatory requirements affiliated with the Transitions service lines you are working within.
- Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.
- Participate in IDG care teams and provide leadership in representing clinical social work perspective/liaison with patient and family.
- Provide appropriate education on hospice philosophy and services to potential new patients/family members/ and/or referral sources.
- Admit patients to hospice, in congruence with TL policies and procedures and relevant regulatory standards and conditions of participation.
- Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
- Collaborates with facility staff and other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.
- Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities
- Actively participates in the orientation and training of new employees of all disciplines.
- Keep current with social work and health care developments and seek to increase further enhancement of job-related knowledge.
- Maintain working knowledge of and liaison with community agencies and resources; assessing and referring patient/family to appropriate resources.
- Responsible for professionally managing time, people and technology.
- Performs other duties as assigned by supervisor.
Job Details
Description
Job Summary
This is a full-time position. This position is responsible to provide social work services for an assigned patient caseload, to facilitate patient admissions and/or initial psychosocial assessments, and/or to make visits on an assigned basis across Transitions service lines as directed by the Team Leader.
The schedule for this position is Monday-Friday 8:30am-5:00pm; one major or two minor holidays per year; on-call rotation.
Responsibilities What You Do
- Provide psychosocial assessments of patients and families to identify emotional, social, cultural, financial and environmental strengths and problems related to their diagnosis, illness, treatment, and life situation.
- Support patient/family’s individual spiritual/cultural beliefs by assessing for cultural issues; developing culturally sensitive care plan and collaborating with interdisciplinary team in provision of culturally sensitive care.
- Formulate, develop, and implement a comprehensive psychosocial plan of care utilizing appropriate clinical social work treatments and intervention, while maintaining the dignity of the patient.
- Responsible for documenting assessments, care plans, interactions, and interventions according to regulatory standards and agency standards for service lines associated with the identified patient.
- Maintain awareness of patient payer source and assist the finance department in collecting accurate insurance information, including facilitating self-pay patients through the appropriate financial screening process (i.e. Medicaid, Charity Care,).
- Educate patients, families and referral sources on various levels of hospice care.
- Maintain a working knowledge of the Condition of Participation (COP’s) and other regulatory requirements affiliated with the Transitions service lines you are working within.
- Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.
- Participate in IDG care teams and provide leadership in representing clinical social work perspective/liaison with patient and family.
- Provide appropriate education on hospice philosophy and services to potential new patients/family members/ and/or referral sources.
- Admit patients to hospice, in congruence with TL policies and procedures and relevant regulatory standards and conditions of participation.
- Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
- Collaborates with facility staff and other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.
- Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities
- Actively participates in the orientation and training of new employees of all disciplines.
- Keep current with social work and health care developments and seek to increase further enhancement of job-related knowledge.
- Maintain working knowledge of and liaison with community agencies and resources; assessing and referring patient/family to appropriate resources.
- Responsible for professionally managing time, people and technology.
- Performs other duties as assigned by supervisor.
Expectations how you do it
- TL Core Values are exemplified in all interactions with internal and external customers.
- Adheres to TL policies, procedures and guidelines.
- Adheres to CMS and state guidelines and social work standards of practice.
- Adheres to NHPCO Ethical Practices and the National Association of Social Worker’s Code of Ethics.
Requirements What You Need
- Master of Social Work from an accredited university
- Minimum one-year experience in health-related field (experience may include social work internships in a health care related organization).
- LCSW required within 3 years date of hire
- 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.
- 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.
- May be required to lift and/or carry items up to 25 pounds.
- Must have 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.
- Work hours and days including weekend and holiday commitments as outlined in Employee Information Agreement.
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Hospitals and Health Care
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