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    medical social worker, home health, prn - Gainesville, FL , USA, United States - Brooks Rehabilitation

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    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 Candidates

    Responsibilities


    • 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
    Qualifications


    • 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.
    Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:


    • Competitive Pay
    • Employee Discounts
    • Clinical Education and Professional Development Programs


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