- Recognizes the patient and family as a "unit of care"
- Develops an individualized documented plan of care reflecting patient/family goals and provides social work services as outlined in the plan of care
- Identifies and monitors potential psychosocial hot spots.
- Provides co-case management support for issues related to care giving, advance directives, funeral planning, community resources and insurance benefit oversight
- Provides co-case management support for issues related to grief and loss, family dynamics and psychosocial history
- Collaborates with IDG regarding changes in patient status and POC
- Exercises professional expertise in managing and coordinating care between and among involved parties in home, SNF and RCFE setting
- Exercises good clinical judgment in the performance of all duties
- Understands and properly utilizes changing network of community resources
- Respects patient right to self-determination and acts as an advocate within the context of the vision, mission, values and ethical standards of HSCC.
- Assists Admission department with resourcing, assessment, information and registration process as requested
- Insures documentation is accurate, organized, legible, and a complete reflection of services provided as well as an interdisciplinary approach to care. Utilizes only approved abbreviations to ensure clarity of documentation
- Demonstrates the ability to articulate the parameters of hospice care and services
- Demonstrates the ability to work with patients/families under stress and in crisis
- Demonstrates understanding of Hospice Medicare/Medi-Cal Benefit and third party payors
- Demonstrates professional demeanor, tact, and respect in dealing with all patients, families, staff and volunteers
- Responds with flexibility to the changing needs within the assigned caseload
- Participates in rotation of weekend and holiday Social Work coverage as needed/requested
- Performs other related job duties as assigned by Supervisor
- Master of Social Work degree required from a school of social work accredited by the Council on Social Work Education.
- Minimum of 1 year of Social Work experience in a healthcare setting required
- Prefer previous experience in hospice or other end-of-life care and services
- Solid experience and/or aptitude with computer systems and electronic medical record systems and charting
- Strong verbal and written communication skills
- Skilled in tact and diplomacy
- Capable of bringing appropriate level of sensitivity and compassion to patients/families facing terminal illness, death and bereavement
- Understands how to hold and apply appropriate boundaries for care
- Knowledge of community social work services, resources and operational standards
- Understanding of all applicable laws and regulations related to social work licensing
- Understands and utilizes solid ethics in decision making and activities
- Bilingual in English/Spanish highly desirable
- LCSW or related license desirable but not required
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Social Worker - Scotts Valley, United States - Hospice of Santa Cruz County
Description
Job Description
Job DescriptionThe Hospice Social Worker is a member of the Interdisciplinary Team responsible for the co-case management of hospice patients and families. In collaboration with patient/family, physician and interdisciplinary team, develops and coordinates an individualized Plan of Care (POC) that reflects patient/family centered goals related to Safe & Comfortable Dying, Self-Determined Life Closure, and Effective Bereavement. Also addresses the multiple psychosocial issues that affect Hospice patients and their families/caregivers.
Essential Responsibilities
Patient and Family Care/Case Management
Requirements
Education
Experience
Skills Desired
Certifications, Licenses, Registrations
