Home Health Social Worker

Presbyterian Homes & Services•Roseville, MN

5d•$27 - $33•Onsite

About The Position

Presbyterian Homes & Services - Optage HOme Health is seeking a Part Time Social Worker to join its team. The Optage Home Health Social Worker is responsible for implementing resident services for residents consistent with regulations and established best practices. The Social Worker provides support through resident/family advocacy, ongoing assessment and evaluation, service coordination and care planning. The primary focus of this position is the quality of life of residents to assist them in achieving “their best day”. Consider joining our team in providing compassionate and high quality care and services within a caring Christian environment.

Requirements

Bachelor’s degree in social work or a bachelor’s degree in a human services field including but not limited to sociology, special education, rehabilitation counseling, and psychology.
Current licensure as a social worker in state in which he/she practices if required by state law.
Experience in geriatrics or health care related environment.
Demonstrated knowledge of current professional social work theory and practice.
Demonstrated capacity for leadership and supervision.
Excellent clinical assessment and documentation skills.
Ability to organize work flow, respond to emergencies and note detail.
Ability to maintain a high level of performance in an environment of frequent demands and changes.
Demonstrated computer proficiency including Microsoft Office and other common computer programs.
Demonstrated compatibility with PHS's mission and operating philosophies.
Demonstrated ability to read, write, speak and understand the English language to communicate with all customers.

Nice To Haves

Master's degree in social work preferred.
Demonstrated knowledge of social community service delivery systems preferred.
Valid Minnesota Driver’s license and proof of insurance.

Responsibilities

Developing, planning, implementing, supervising, and monitoring medical social services for hospice clients consistent with regulations and established best practices.
Complete scheduled home visits in accordance with physician orders, agency policies, and regulatory requirements.
Complete accurate, timely, and comprehensive clinical documentation and assessments in the electronic medical record.
Collaborate with clients, families, caregivers, and representatives to identify psychosocial needs, establish goals, and support care planning.
Plan, implement, monitor, and evaluate social work interventions and services for an assigned caseload.
Coordinate community resources and facilitate referrals to appropriate support services, including financial, housing, counseling, transportation, caregiver support, and long-term care resources.
Conduct comprehensive psychosocial assessments and regularly reassess client needs, adjusting intervention plans as appropriate.
Provide crisis intervention, counseling, education, and emotional support to clients and families coping with illness, disability, loss, or changes in functioning.
Demonstrate knowledge of family systems, caregiver dynamics, cultural considerations, and social determinants of health that impact patient outcomes.
Apply knowledge of mental health conditions, emotional and behavioral concerns, and community-based supports to assist clients in achieving optimal well-being.
Collaborate effectively with physicians, nurses, therapists, and other interdisciplinary team members to ensure coordinated, patient-centered care.
Advocate for clients' rights, preferences, and access to services while promoting independence and quality of life.
Establish and maintain effective working relationships with outside agencies and organizations to promote hospice services, and to participate with the various community constituencies to achieve mutually beneficial results.
Coordinate client services collaboratively with other professionals inside and outside PHS.
Promote cooperation with all regulatory organizations managing with an expectation of appropriate compliance and corrective measures.
Refer questions outside area of expertise to appropriate team members or community agencies.
As a member of the Home Health team, actively participate in department and program activities, meetings and processes.
Assist fellow team members with the completion of their work when assigned or needed.
Effectively collaborate with others to promote the total wellbeing of clients.
Participate in team, groups and activities as needed.
Develop and implement established social services and policies, procedures and practices.
Use quality management process to meet client needs.
Develop, Implement and maintain monitoring systems and processes to ensure compliance with regulations and established best practices.
Apply the knowledge and skills needed to do the position, including technical competence in the field and current knowledge of laws and regulations affecting your position.
Maintain current knowledge of community resources available for clients.
Use discretion and independent judgment to compare and evaluate possible courses of action and decision-making.
Maintain knowledge of organization and industry policies and practices.
Provide leadership and supervision of social workers in the hospice agency.
Manage resource allocations in order to achieve or exceed operational goals.
Assist in coordinating all aspects of the client’s stay with regard to their payment source.
Demonstrate good stewardship of available resources.
Work with team to develop budgets.
Support the integration of Christian Culture in the community; reinforce the Christian heritage and culture through communication and education systems; support the work of the on-site spiritual program; recognize the importance of spiritual matters to clients and employees.