POSITION SUMMARY: Provides social work services to patients, and their families, in both the HomeCare and Hospice programs. Will assess and treat emotional needs related to illness. Will participate as a member of multi-disciplinary team and may assist patients in treatment planning, discharge planning, community resource needs, advanced medical directives as well as performing various assessments/screens. Master's degree of social work required. Experience in HomeCare and Hospice preferred. QUALIFICATIONS:
Masters degree in Social Work
One year experience in a health care setting desired
Current CPR certification
Able to provide own transportation to patient’s homes
Satisfactory references
Positive physical and mental health
Able to work beyond scheduled hours as needed
Basic knowledge of computer desired
WORK CONDITIONS:
Requires driving/travel to other sites, including in inclement weather.
Occasional exposure to infectious and contagious entities.
Occasional exposure to unsafe/unsanitary conditions in patient homes.
General office environment.
General office equipment used.
DUTIES & RESPONSIBILITIES:
Responds to referrals of social work services from Schoolcraft Memorial HomeCare & Hospice.
Assess psychosocial needs of patients and/or families referred for services by reviewing the medical record, interviewing the patient and/or family and consulting with other members of the interdisciplinary Schoolcraft Memorial HomeCare & Hospice team.
Develop psychosocial treatment plan based on patient need, reimbursement guidelines and regulations.
Participate in interdisciplinary case conferences to discuss severity of psychosocial problems impeding patient progress and promote understanding of significant psychosocial factors impacting on health problems.
Contact attending physician as indicated to inform of progress and/or receive orders to modify the treatment plan as indicated to address changes in patient status.
Cooperate with Schoolcraft Memorial HomeCare & Hospice and interdepartmental services, medical care and community resources in executing the patient/family plan of care.
Provide advisory and consultative services to Schoolcraft Memorial HomeCare & Hospice professional staff as indicated.
Provide formal and informal training regarding communication, conflict resolution, the emotional, social and environmental factors affecting the health and well-being of patients and their families.
Document the patient/family progress toward identified goals response to treatment plan and assessment findings in patient medical record adhering to documentation guidelines/protocols.
Complete other Schoolcraft Memorial HomeCare & Hospice records and reports in an accurate and timely manner.
Demonstrate ability to organize and manage patient referral activities.
Participate in and support the Schoolcraft Memorial HomeCare & Hospice Quality Improvement Program and Utilization Review activities.
Comply with quality improvement standards, policies and procedures of Schoolcraft Memorial HomeCare & Hospice.
Adhere to the NASW Code of Ethics and standards of the profession and Schoolcraft Memorial HomeCare and Hospice policies.
Participate in Schoolcraft Memorial HomeCare & Hospice meetings, activities, programs, in-services and continuing education classes.
Maintain and increase knowledge base and clinical competence through attendance and participation in other professional development opportunities.
Maintain state licensure.
Maintain current knowledge of community resources and establish sound working relationships with these resources.
Remain flexible to changes in Schoolcraft Memorial HomeCare & Hospice policy and procedure and in daily scheduling.
Interpret the role and responsibilities of the Schoolcraft Memorial HomeCare & Hospice Social Worker to others as indicated.
Maintaining regular work attendance and adhere to established visit frequency per individual treatment plan.
Communicate and interpret policies and procedures to members of the Schoolcraft Memorial HomeCare & Hospice team, patients and families.
Adhere to Schoolcraft Memorial HomeCare & Hospice policies and procedures.
Communicate with Schoolcraft Memorial HomeCare & Hospice management if policies and/or procedures are violated.
Contribute to effective client relations by assisting patients, families, co-workers and other health care members to resolve expressed concerns and by demonstrating a positive and helpful attitude.
Maintain patient confidentiality by adhering to the terms of Schoolcraft Memorial HomeCare & Hospice Human Resources policy concerning confidential information.
Demonstrate appropriateness in meeting objectives in age-specifics.
Contributes to organizational operations by performing other related duties as may be required.
Coordination and implementation of Hospice Bereavement Program
Coordination and scheduling of Hospice Volunteers
Performs other duties as assigned.
