Medical Social Worker

Lufkin/Angelina County Chamber of Commerce; Lufkin (TX); Presencial; USD 52.000 - 76.000; Jornada completa

Descripción de la vacante

Lufkin/Angelina County Chamber of Commerce is seeking a qualified Social Worker for home health services. The role coordinates patient care across disciplines, conducts psychosocial assessments, case conferencing, and referrals to meet patient and family needs.

You will develop and evaluate the Plan of Care with patients and caregivers, provide counseling and education, ensure compliance with agency policies, and collaborate with the interdisciplinary team to promote quality care and timely

Formación

• Duties-focused skills not explicitly listed in this posting.

Responsabilidades

• Provides coordinated home health care across ages; conducts psychosocial assessments and counseling.
• Performs ongoing psychosocial and environmental needs assessments per Plan of Care.
• Collaborates with patient, representatives, and caregivers to develop and evaluate the care plan.
• Accepts clinical assignments aligned with education and competence.
• Delivers physician-ordered services per Plan of Care and conducts patient/caregiver education.
• Maintains effective interpersonal relations and communication to support outcomes.
• Communicates with physicians and other healthcare providers involved in the Plan of Care.
• Meets mandatory continuing education requirements and stays updated on eligibility standards.
• Demonstrates commitment to professional growth and agency policies.
• Promotes agency philosophy and administrative policies to ensure quality care.
• Collaborates with interdisciplinary team for coordinated patient care.
• Meets or exceeds productivity and documentation standards.
• Participates in QAPI program and in-service trainings.
• Provides supervision of social work assistants when applicable.

Descripción del empleo

• Provides coordinated care in the home to patients/clients of all age groups and performs psychosocial assessments, analysis, counseling, and referrals to meet the needs of the patient/client and family. Participates in the coordination of care.
• Performs ongoing clinical assessment of home health patients/clients to identify psychosocial, financial, environmental, and community resource needs as evidenced by the Plan of Care (POC), documentation, clinical records, case conferences, and community resource referrals.
• Develops and evaluates the plan of care in partnership with the patient/client, representative (if any), and caregiver(s).
• Accepts clinical assignments that are consistent with education and competence to meet the needs of the patients/clients.
• Provides services that are ordered by the physician as indicated in the Plan of Care, including patient/client, caregiver, and family counseling, and patient/client and caregiver education. Prepares clinical notes.
• Uses effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes.
• Communicates with all physicians involved in the Plan of Care and other healthcare practitioners related to the current Plan of Care.
• Meets mandatory continuing education requirements of the Agency and licensing board.
• Demonstrates commitment, professional growth, and competency by maintaining a working knowledge of public and private eligibility standards and requirements.
• Promotes the Agency philosophy and administrative policies to ensure quality of care.
• Collaborates with the interdisciplinary team to promote coordination of patient/client care.
• Meets productivity standards as outlined by the agency.
• Meets or exceeds agency documentation standards timely and efficiently
• Participates in the Agency’s QAPI program.
• Participates in the Agency sponsored in-service trainings.
• Provides supervision of social work assistants, if applicable.