Medical Social Worker

Spanish Cove Retirement Village•Yukon, OK

16d•$33 - $37

About The Position

The hospice Social Worker furthers the mission of hospice by providing clinical support to patients and their families in conjunction with the other members of the hospice team. The Social Worker has special expertise related to the psycho-social, spiritual, bereavement, environmental and financial needs of the hospice patients and their families.

Requirements

Masters degree in Social Work from an accredited school of social work.
Current State of Oklahoma social worker license (Required)
Valid driver’s license.
Current automobile insurance.
Reliable vehicle.
Ability to talk and hear
Frequently required to sit and reach with hands and arms.
Occasionally required to walk; stoop, kneel, crouch, or crawl.
Occasionally required to lift and/or move up to 10 lbs.
Ability to see; close, distance, peripheral, depth and ability to adjust focus.

Nice To Haves

2 years social work experience in health care setting preferred.

Responsibilities

Provide psychosocial care of patients and families, however the patient defines ‘family’; care is to be provided according to Medicare guidelines.
Perform psychosocial and spiritual assessments within 5 days of admission visit; financial needs also to be addressed.
Plan of care (POC) to be developed, updated, and revised as necessary for appropriate care no less than every 15 days.
Provide supportive counseling to the individual and family within the social worker’s scope of practice.
Advocate for patients and families to maximize psychosocial support within the scope of standards of practice.
Communicate, coordinate, and collaborate with team members to plan and implement POC, keeping in mind interdisciplinary roles.
Facilitate family conferences as necessary to assure best care, understanding of POC and client status changes; assist in working through family crises.
Complete financial disclosure form with patient or family, when appropriate, and provide financial advocacy and counseling.
Maintain current and confidential medical records according to Medicare guidelines; documentation to include ongoing updates of the POC, assessment forms for each visit, volunteer contact, and death/discharge summaries.
Assist in securing durable medical equipment (DME).
Participate in interdisciplinary team (IDT) meetings to facilitate and coordinate POC.
Promote a work environment of mutual respect.
Coordinate discharge planning with hospital and skilled nursing facility personnel, facilitate discussion of grievances between SC@Home and facility staff.
Facilitate funeral planning as appropriate.
Communicate, coordinate and collaborate with ALF and SNF staff; offer support to grieving staff as appropriate.
Maintain knowledge of appropriate community resources and act as a resource to hospice team on psychosocial issues and community resources.
Act as a liaison to community resources (Medicaid, aging and adult services, private duty care agencies, ALF, SNF, meals on wheels, etc.) for clients.
Assist with Advance Directives including living wills, POLST, etc.
Assist with and facilitate Medicaid applications as well as other care programs.
Act as a liaison to religious/spiritual institution; support spiritual care.
Act as a resource and support person to caregiving volunteers.
Act as a death and dying resource and advocate for the community.
Maintain an appropriate caseload based on the number of scheduled work hours and distance traveled.
Participate in SC@Home sponsored in-services, staff meetings, and agency events.
Provide bereavement support and counseling to designated primary bereaved as needed which might include needs assessment, supportive visits and phone calls, referral to community resources, and/or referrals to support groups. This care is to be provided within the social workers’ scope of practice.
Act as facilitator or co-facilitator of bereavement support groups as assigned.
Present about hospice services to community groups as requested.
Other duties as assigned.
Adheres to SC@Home policies and procedures.
Clarifies with manager deviation from stated policies and procedures.
Demonstrates appropriate resource utilization for meeting patient care needs.
Contributes to a working environment that encourages collaboration and communication.
Demonstrates accountability for own decisions and actions.
Identifies and describes own learning needs.
Displays growth in knowledge and skill required to deliver care to complex patient/family situations and current knowledge base related to aspects of palliative care, death and dying.
Attends hospice-based education programs, including mandatory in-service programs.
Obtains 16 continuing education hours required to maintain Oklahoma credentials.
Hours worked are based on the assigned patients’ needs.
After-hour visits may be needed on occasions per patients’ needs.