Hospital Liaison Social Worker

VIA Health Partners•Charlotte, NC

13d

About The Position

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go to serve our mission. Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story. We provide excellent benefits including: Medical, Vision, and Dental plans through BCBS 28 days of Paid Time Off Excellent mileage reimbursement rate 403b Retirement plan with matching Focused programs honoring Veteran patients Assistance with achieving Certified Hospice & Palliative Nurse (CHPN) Best Orientation and Onboarding program you’ve experienced Seasoned Hospice leaders guiding your career growth Essential Functions Delivery of Patient Care Serves as the “face” and liaison between VIA and the hospital systems in our service area. Provides information to patients, families and healthcare professionals interested in hospice services. Visits and assesses existing VIA patients admitted to the hospital within 24 hours of admission notification. Reviews inpatient medical records on all hospice consults, referrals and existing patients. Collaborates with the appropriate Team Manager to determine admission status or level of care for existing patients. Initiates and maintains a liaison relationship with all hospital discharge planners and case managers to effectively coordinate and ensure collaborative management of the patient while hospitalized. Reliably communicates pertinent patient information to both members of the hospice interdisciplinary team and the hospital personnel. Ensures adherence to the hospice Plan of Care, while collaborating with hospital staff and incorporating individualized goals and interventions. Coordinates and communicates discharge disposition with the Referral Center Triage Nurse, Hospital Liaison Coordinator, and the primary hospice team. Presents hospice services, conducts hospice IPU psychosocial assessment to identify patient/caregiver needs, coordinates ancillary services, develops General Inpatient Plan of Care in conjunction with the Hospital Liaison Nurse and begins collaborative discharge planning with hospital personnel for newly admitted hospice patients at the General Inpatient Level. Professional and Personal Accountability Ensures that VIA professional reputation is maintained and projected. Demonstrates competency in knowledge and skills. Assumes responsibility for professional development and staying abreast of current trends in the healthcare field. Incorporate new information and methods into practice. Maintains current professional licensure and CEU requirements, as appropriate. Understands that physicians’ offices, hospital personnel, assisted living communities, long term care communities, VIA Home Care and HART Teams and LDHH staff are our customers and strives for a positive and productive relationship. Maintains productive and professional relations with external agencies and healthcare providers. Assumes periodic on-call responsibilities and holiday coverage. Works very closely with the Business Development and Marketing team, communicating any pertinent information, needs, or concerns relative to exceeding the expectations of the client/referral sources. (i.e. Hospital Systems) Ensures accurate, complete, and timely clinical documentation in accordance with HPCCR guidelines. Ensures that VIA professional reputation is maintained and projected. Assumes responsibility for professional development and staying abreast of current trends in the social work field. Incorporates new information and methods into practice. Maintains current professional licensure in NC as a Licensed Clinical Social Worker Associate (LCSWA) or Licensed Clinical Social Worker (LCSW) and in SC as a Licensed Independent Social Worker – Clinical Practice (LISW-CP), as applicable. May perform other duties as required.

Requirements

Master’s degree in social work from a Council on Social Work Education (CSWE) accredited institution if working as MSW.
Be licensed as a Clinical Social Worker Associate (LCSWA) or a Clinical Social Worker (LCSW) by the NC Social Work Certification and Licensure Board and SC Board of Social Work Examiners, Licensed Independent Social Worker – Clinical Practice (LISW-CP) and remain in good standing with the licensing board.
Computer proficiency is required

Nice To Haves

Medical social work or hospice experience preferred.

Responsibilities

Serves as the “face” and liaison between VIA and the hospital systems in our service area.
Provides information to patients, families and healthcare professionals interested in hospice services.
Visits and assesses existing VIA patients admitted to the hospital within 24 hours of admission notification.
Reviews inpatient medical records on all hospice consults, referrals and existing patients.
Collaborates with the appropriate Team Manager to determine admission status or level of care for existing patients.
Initiates and maintains a liaison relationship with all hospital discharge planners and case managers to effectively coordinate and ensure collaborative management of the patient while hospitalized.
Reliably communicates pertinent patient information to both members of the hospice interdisciplinary team and the hospital personnel.
Ensures adherence to the hospice Plan of Care, while collaborating with hospital staff and incorporating individualized goals and interventions.
Coordinates and communicates discharge disposition with the Referral Center Triage Nurse, Hospital Liaison Coordinator, and the primary hospice team.
Presents hospice services, conducts hospice IPU psychosocial assessment to identify patient/caregiver needs, coordinates ancillary services, develops General Inpatient Plan of Care in conjunction with the Hospital Liaison Nurse and begins collaborative discharge planning with hospital personnel for newly admitted hospice patients at the General Inpatient Level.
Ensures that VIA professional reputation is maintained and projected.
Demonstrates competency in knowledge and skills.
Assumes responsibility for professional development and staying abreast of current trends in the healthcare field.
Incorporate new information and methods into practice.
Maintains current professional licensure and CEU requirements, as appropriate.
Understands that physicians’ offices, hospital personnel, assisted living communities, long term care communities, VIA Home Care and HART Teams and LDHH staff are our customers and strives for a positive and productive relationship.
Maintains productive and professional relations with external agencies and healthcare providers.
Assumes periodic on-call responsibilities and holiday coverage.
Works very closely with the Business Development and Marketing team, communicating any pertinent information, needs, or concerns relative to exceeding the expectations of the client/referral sources. (i.e. Hospital Systems)
Ensures accurate, complete, and timely clinical documentation in accordance with HPCCR guidelines.
Ensures that VIA professional reputation is maintained and projected.
Assumes responsibility for professional development and staying abreast of current trends in the social work field.
Incorporates new information and methods into practice.
Maintains current professional licensure in NC as a Licensed Clinical Social Worker Associate (LCSWA) or Licensed Clinical Social Worker (LCSW) and in SC as a Licensed Independent Social Worker – Clinical Practice (LISW-CP), as applicable.
May perform other duties as required.