Hospice Social Worker - Watertown, United States - Beth Israel Lahey Health at Home

    Beth Israel Lahey Health at Home
    Beth Israel Lahey Health at Home Watertown, United States

    3 weeks ago

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    Full time Healthcare
    Description

    Job Type: Regular

    Time Type: Full-time

    Work Shift: Day (United States of America)

    FLSA Status: Exempt

    Joining the expanding BILH team means more than just getting a job; it means positively impacting the lives of others.

    Job Description:

    * 32-hour/week position *

    The Hospice Medical Social Worker offers a wide range of services to terminally ill patients and their families, while consistently applying judgment and discretion to understand the patient and family's unique spiritual and cultural beliefs, strengths, coping mechanisms, and pre-bereavement and anticipatory grief requirements. Ongoing assessment is conducted, and the Care Plan reflects the Medical Social Worker's evaluation and conclusions concerning the distinctive bio-psychosocial needs of the patient and family.

    Job Description:

    Direct Patient Care

    • Manages social work services for hospice patients and their families
    • Directs IDT patient care plan interventions for Hospice social work
    • Conducts person- and family-centered, comprehensive psychosocial evaluations
    • Offers psychosocial interventions with utmost integrity, considering cultural appropriateness and developmental stages throughout the illness continuum, including:
      • supportive counseling
      • psychoeducation
      • guidance for the future
      • advocacy
      • assistance with family gatherings
      • connection to community resources
      • non-pharmacological pain and symptom management
  • Evaluates risks and intervenes to address potential complications in coping with grief, exploring anticipatory bereavement related to potential death and various aspects of loss and adaptation throughout the illness continuum.
  • Provides appropriate care coordination and discharge planning. Assesses team challenges with difficult clinical cases, offering support and debriefing as necessary.
  • Visits routinely and unscheduled as a Hospice Interdisciplinary Team member for psychosocial patient/family evaluations. Schedules visits based on patient/family acuity levels. Conducts informational visits as requested by the manager for potential patients/families.
  • Completes written psychosocial evaluations of patients and families, conveying psychosocial strengths and weaknesses, coping skills, grief responses, support systems, high-risk factors for complicated bereavement, and the necessity for community resources in a timely manner.
  • Offers individual and/or family counseling, reassessing psychosocial factors during each visit to ensure optimal results. Initiates or participates in patient care conferences or family meetings as required, documenting appropriately in the electronic record.
  • Following patient/family evaluations, makes all necessary referrals to additional community agencies promptly; these may include accessing financial resources, nursing home placements, or transfers to a hospice facility.
  • As a Mandated Reporter, possesses knowledge of family violence, child/elder/disabled neglect and abuse to identify at-risk individuals and refer them to suitable organizations under the guidance of the Manager/Director.
  • Leads or co-leads monthly support groups for IDT and assists in providing Bereavement Group support, if needed.
  • Participates in weekly IDT meetings for ongoing updates, planning, and adjustment of the Plan of Care based on evolving patient/family needs, documented every two weeks. Engages in orientation, education, in-service training, and the Hospice QAPI program.
  • Offers consultation to other healthcare professionals regarding psychosocial matters and delivers in-service education when requested.

    • Documentation

    • Clinical visit notes support the necessity for hospice medical social services considering the patient's overall medical condition and experiences, the intricacy of the services performed, and the plan for the following visit based on prior outcomes.
  • The initial evaluation must be finalized within five days of admission.
  • Records information in accordance with agency timeliness regulations.
  • Completes IDT notes promptly, including risk evaluations and follow-up plans.

    • Qualifications

    • Holds a Master's degree in Social Work (MSW) from an accredited social work school.
    • Carries a current LCSW license to practice in Massachusetts.
    • Preferred current Massachusetts Licensed Independent Clinical Social Worker (LICSW).
    • Maintains certification in American Heart Association (AHA) CPR.
    • Minimum of three years of experience in Medical Social Work.
    • At least one year of experience in Palliative or End-of-Life Care.

    Exempt

    As a healthcare organization, it is our duty to do everything possible to care for and safeguard our patients, coworkers, and communities. Beth Israel Lahey Health mandates that all employees receive influenza (flu) and COVID-19 vaccinations as a condition of employment. Discover more about this obligation. Over 35,000 professionals collaborating. Nurses, physicians, technicians, therapists, researchers, educators, and more work together to influence patients' lives. Your expertise and empathy can enhance our collective impact. Equal Opportunity Employer/Veterans/Disabled

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