The medical social worker contracted or employed through the organization is responsible for the implementation of standards of care for medical social work services and for adherence to all conditions in the Service or Employment Agreement. DUTIES & RESPONSIBILITIES 1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group. Provides an assessment in the patient's identified residence and assists in planning for future needs/ placement as patient declines. 2. Carries out social evaluations and plans interventions based on evaluation findings. Counsels patient and family/caregivers as needed in relationship to identified coping difficulties and anticipatory grief. 3. Maintains clinical records on all patients referred to social work. 4. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs. 5. Coordinates care for patients and families/caregivers with community agencies. 6. Remains available to patients, families/ caregivers for urgent needs that arise such as respite needs, housing, unsafe living situations, death, etc. 7. Maintains collaborative relationships with organization personnel to support patient care. 8. Maintains and develops contracts with public and private agencies as resources for patient and personnel. 9. Participates in the development of the individualized plan of care and attends regularly scheduled interdisciplinary group meetings. 10. Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues. 11. Actively participates in quality assessment performance improvement teams and activities. 12. Actively engages each patient in their discharge planning needs throughout their time on hospice. 13. Other duties as delegated by the Clinical Supervisor. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
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Number of Employees
5,001-10,000 employees