- Attend clinical case conference meetings and meetings assigned by the Director of Nursing, ADON, and/or Administrator.
- Appropriately refer to other disciplines or community resources as needed.
- Complete safety and needs assessments accurately and identify actual or potential problems and solutions to patient problems.
- Maintain a working knowledge of available outreach programs.
- Respects confidentiality of information in the client clinical record and only shares this information in accordance with Agency policy and HIPAA
- Educate patients and families on services and interventions.
- Responsible for ensuring that the standards of clinical practice are being followed at all times.
- Responsible to report weekly schedule and report if over/under productivity.
- Acts in a professional manner, work as scheduled and report to work on time.
- Works with the ADON and Director of Nursing to ensure that Medicare guidelines and revisions are being followed.
- Follow procedures to work within the frame of the law and scope of practice.
- Record the coordination of care from the field staff into a patient's chart.
- Report any problems of patients to the Physician and Clinical Supervisor.
- Communicate visits with the Clinical Supervisor to establish proper care of the patients.
- Prepares social histories to augment existing service, or as a guide in determining or changing level of service. This may include cultural factors, financial concerns and support system
- Ensure that all documentation is completed in a timely fashion.
- Keeps the ADON, Director of Nursing or Administrator apprised of any problems or potential problems.
- Provide in medical social work to homebound patients without prejudice.
- Ensure that all documentation is completed in a timely manner within the agency.
- Meet with the nurses, therapists, home health aides and other disciplines involved in the patient care for case conference on a weekly basis. Attends a minimum of 1 team case conference per week.
- Takes and writes physician orders as necessary and appropriate.
- Establishes and maintains an ongoing relationship with the physicians and their office staff, facilities, or other members of the community involved to promote continuity of care.
- Respects confidentiality of information in the client clinical record and only shares this information in accordance with Agency policy and HIPAA
- Represent the Agency at all times in a professional and loyal manner.
- Attend meetings, luncheons and in-services as needed.
- Communicate well verbally and in writing.
- Have excellent planning, time management and organizational skills
- Promote patient and community relations
- Participates in the development of the plan of care
- Participates in discharge planning and in-service programs
- Acts as a consultant to other agency personnel
- Assist with CEMP
- Masters Degree from a school of Social Work accredited by the Council on Social Work Education
- Current and approved CPR certification
- Minimum of one (1) years' experience in a health care setting or equivalent experience; home care experience preferred.
- Demonstrates strong knowledge of resources available in the community.
- Reliable transportation and demonstrated good driving record.
- Demonstrates organizational and leadership ability.
- Demonstrates a working knowledge of Medicare guidelines for home health coverage and compliance.
- Must have good verbal and written communication skills and evaluation techniques and demonstrate knowledge of clinical skills, judgment, current nursing practices and analytical capabilities.
- Must be familiar with Medicare, Medicaid, and other third-party payer guidelines.
- Must have a current/valid driver's license, agency-required automobile liability insurance, and availability of personal, dependable transportation to conduct home visits.
- Able to assess patient status and identify requirements relative to age specific needs.
- Competitive Pay
- Employee Discounts
- Clinical Education and Professional Development Programs
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medical social worker, home health, prn - Gainesville, FL , USA, United States - Brooks Rehabilitation
Description
In Gainesville, FL.This role provides services and/or establishes standards addressing the social and/or emotional factors that impact the patient's ability to achieve the goals of the Plan of Care.
Services are provided under the direction of a physician and in conjunction with other health care team members in accordance with the established policies and practices of the Agency.
Description for Internal CandidatesResponsibilities