Licensed Social Worker-Full-time

Hospice of the Western Reserve

Cleveland (OH)

On-site

USD 52,000 - 66,000

Full time

47 hours ago
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Benefits offered by this job

Retirement plan
Tuition assistance
Technology package
Non-exempt role
Corporate discounts

Job summary

Reserve Care (formerly Hospice of the Western Reserve) seeks a Navigator Social Worker to provide psychosocial support to patients and families in collaboration with a transdisciplinary team. The role includes referrals, documentation, and patient-centered care coordination.

Responsibilities cover treatment goal clarification, care planning, and coordination across hospital and hospice settings, with a focus on alleviating emotional and social barriers to care.

Qualifications

  • Maintains social work license required in Ohio.
  • Minimum of one year social work experience in a recognized agency or health care organization.
  • Knowledge of hospice and palliative care standards of practice, policies and procedures.
  • Ability to practice per HWR clinical standards and NASW Code of Ethics.
  • Knowledge of community and social services resources.

Responsibilities

  • Follows up with patients, families, caregivers and employees in a courteous, professional manner.
  • Provides direct psychosocial support to patients and families.
  • Assists team in clarification of treatment goals and the plan of care.
  • Coordinates with hospital, hospice and facility departments for care coordination and discharge planning.
  • Develops and implements the plan of care based on psychosocial assessment.

Skills

Social work
Communication
Collaboration
Case management
Driver's license

Job description

Hospice of the Western Reserve is now Reserve Care. Our new name reflects the full scope of care we provide while honoring nearly 50 years of trusted service. We continue to deliver expert hospice, palliative and grief support with the same compassionate team. When you join Reserve Care, you become part of a legacy that walks alongside patients, families and communities with guidance and meaningful support during life’s most important moments.

Reserve Care operates in celebration of the individual worth of each life, we strive to relieve suffering, enhance comfort, promote quality of life, foster choice in end-of-life care and support effective grieving.

We believe that our success starts with our greatest asset: OUR EMPLOYEES!

We live our shared core values in everything we do: COMPASSION. EXCELLENCE. EQUALITY. INTEGRITY. SERVICE. STEWARDSHIP.

We have a passion for purpose driven work! Do you?

JOIN OUR FAMILY!

The Navigator Social Worker, in collaboration with the transdisciplinary team, provides and/or facilitates the acquisition of economic, social and emotional support services to Navigator patients and their families. This position is responsible for psychosocial consultation to other agency personnel and transdisciplinary team members, referrals to outside agencies, and provides direct services to patients and their families. The Social Worker maintains complete and accurate patient records following established Hospice of the Western Reserve standards of documentation practice and regulatory and licensure requirements.

What You Will Do
  • Follows up and interacts with patients/families/caregivers and employees in a courteous and professional manner always
  • Participates in the transdisciplinary Navigator Support service team and provides direct, critical psychosocial support to patients and families
  • Uses professional background and skills to assist the team and facilitate patient/family meetings.
  • Assists team, attending physicians, staff, patients and families in the clarification of treatment goals and the plan of care.
  • Completes arrangements as needed for patient/family/caregiver satisfaction
  • Performs advocacy and oversight of services based on patient self-determination to assure patient and family satisfaction
  • Assists patient and family with placement arrangements
  • Facilitates formal and informal meetings regarding patient and family communication and decision making.
  • Coordinates team efforts with appropriate hospital, hospice, and/or facility departments to ensure care coordination, smooth discharge planning and/or transition to appropriate services. May assist in development of care transition model for patients
  • Assesses patient/family social and emotional factors and the need for acquisition of economic support to estimate their capacity and potential to cope with an advanced serious illness
  • Develops and implements the plan of care based on a thorough psychosocial assessment and consultation with team members
  • Provides counseling services to the patient and family experiencing emotional, social and economic conflict
  • Provides support and education to patients and their families in relation to anticipatory grief
  • Documents patient care following established Hospice of the Western Reserve standards of documentation practice
  • Participates in the development and review of appropriate protocols and processes that support appropriate referral and consistent care
  • Adheres to established Western Reserve Navigator policies and procedures and all regulatory and legal requirements and practices within the NASW Code of Ethics
  • Participates in developing and implementing appropriate measures of patient care outcomes, quality and satisfaction
  • Consistently follows all departmental and organizational protocols and practices to ensure service excellence is achieved with both internal and external customers, and that boundaries within the scope of practice are not exceeded
  • Actively participates in meetings at the individual, group and organizational levels, internally and externally to achieve desired outcomes
  • Works collaboratively with the transdisciplinary team to provide patient and family oriented advanced illness management services
  • Acts as a resource for staff members and orients new staff as needed
  • Works in collaboration with the finance team to evaluate and monitor patient’s insurance coverage and options in assessing patient/family ability to meet financial obligations
  • Assists patients, families and staff in acquiring and utilizing internal and community resources
  • Assesses patient/family ability to meet financial obligations, offers appropriate resources and assists with activation of those resources as indicated
  • Adjusts to changes in workload and schedules based on changing departmental and organizational priorities
  • Assists Team Leader in ensuring excellent patient care services, coordinating educational and outreach services, leading quality improvement initiatives and linking team efforts with community partners
Success Capabilities
  • Maintains social work license requirement for the State of Ohio
  • Minimum of one (1) year social work experience within a recognized agency or health care organization
  • Knowledge of hospice and palliative care clinical standards of practice, policies and procedures
  • Ability to practice in accordance with HWR clinical standards of practice, policies and procedures
  • Knowledge of community and social services resources.
  • Ability to meet patient/family needs that require variable hours.
  • Ability to establish and maintain effective working relationships with employees and the community at all levels.
  • Ability to demonstrate excellence in written and oral communication
  • Ability to demonstrate positive customer service responsiveness
  • Must be flexible and have problem solving skills, prioritize and demonstrate healthy coping strategies
  • Ability to provide own transportation
  • Must have and maintain a valid driver’s license, good driving record and auto accident insurance at a level acceptable to RC and/or RC’s insurer
Details
  • Total Rewards Package to include Retirement, Health, Dental, Vision, voluntary benefits and Corporate Discounts
  • Tuition Assistance
  • Non-exempt role
  • Technology Package
  • Protocols in place for wellbeing during COVID-19
Conditions Of Employment
  • Compliance to Annual Flu Shot Policy or ability to provide exemption documentation
  • Provide an active auto insurance policy as a licensed driver in the State of Ohio with the proper level of coverage as directed
  • Provide an active driver’s license
  • Ability to provide proof of eligibility to work in the United States.
  • High level of integrity, ethics and professionalism.
NOTE

The responsibilities of this position are described above, and they may be subject to change at any time due to reasonable accommodations or other reasons. Also, this description in no way states or implies that these are the only duties to be performed by the employee occupying this position.

Applicants who may need reasonable accommodations to complete the application process may contact:

Careers at Reserve Care

17876 St. Clair Ave.

Cleveland, OH 44114

216.383.2222 or careers@hospicewr.org

Reserve Care is an Equal Opportunity Employer and encourages Women, Minorities, Individuals with Disabilities, and protected Veterans to apply.

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