About The Position

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Collaborates with the physician, other health care professionals, patient family in the design and documentation of an explicit hospice plan of care. Implements and evaluates the progress of the plan of care. Collects key data elements which describe the achievement of quality/performance improvement and utilization/financial goals.

Requirements

  • Master’s Degree in Social Work from an accredited school of Social Work.
  • Current licensure to practice Social Work in the appropriate state where services will be provided.
  • Valid driver’s license.
  • CPR certification within 30 days of hire date.
  • Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly technical situations.
  • Must have the ability to work successfully under highly stressful conditions and must be capable of adapting to varying workloads and work assignments on a constant basis
  • Must have the ability to make sound, independent judgments based upon scientific and regulatory principles, and also be able to collaborate successfully with other multi-disciplinary team members in an appropriate fashion.
  • Ability to communicate effectively, both verbal and written.
  • Ability to communicate and to use tact and diplomacy in dealing with physicians, patients, families and other health care professionals.
  • Ability to work independently while being able to communicate with team.
  • Ability to assess complex situations and develop a realistic, appropriate and safe discharge plan.
  • Demonstrate characteristics of dependability and punctuality.
  • Must be able to handle and maintain confidential information.
  • Must have the ability to comprehend and perform oral and written instructions and procedures.
  • Must have math skills to work with statistics, data collection, etc.
  • Must be able to organize, prioritize and complete assigned tasks.
  • Must be able to work extended hours.
  • Demonstrates flexibility in response to unexpected changes in work volume, emergencies, staffing or scheduling changes.

Nice To Haves

  • Two (2) years of Hospice experience.
  • Experience with counseling individuals or groups.
  • Experience with psychosocial, emotional, and spiritual assessment.

Responsibilities

  • Completes comprehensive assessment to develop a safe, realistic hospice plan of care appropriate for the patient.
  • Assesses for signs and symptoms of abuse and/or neglect and makes referrals to appropriate agencies.
  • Identifies decision maker of medical (financial, if indicated) or if there is an existing Medical Power of Attorney designee and presence of Living Will or other advanced directives. Assists patient in completion of Living Will and Medical Power of Attorney forms as requested.
  • Works with legal counsel in pursuing and expediting guardianship, and/or conservatorship actions when necessary.
  • Assists in planning, implementing and evaluating QI strategies.
  • Provide care, based on physical, psychosocial, communication, safety, education level, and related criteria for the infant, pediatric, adolescent, adult, geriatric patient per the established age-specific standard.
  • Communicates to leadership and/or appropriate physician/medical staff director/peer review. Deviations from expected norm, quality or appropriateness of care according to established standards of care. Risk management issues.
  • Explains to physicians, patient, family and other health care professionals Medicare, Medicaid and other 3rd party payers coverage issues and regulations.
  • Takes appropriate actions to minimize financial loss to the organization and/or improve the quality of patient care delivery (i.e., discusses cases with patients and families, consult with physician).
  • Performs needs assessments reflecting patient/family psychosocial, emotional, spiritual, financial, and age-specific criteria upon admission and each visit thereafter, including development of an interdisciplinary care plan that address any assessed needs.
  • Refers patients and/or families to a wide-range of community services; including but not limited to provision of health care coverage, income maintenance programs, transportation services, etc. by completing agency specific referral forms.
  • Follows acceptable infection control guidelines during room interview with particular attention to patients in isolation. Adheres to standards precautions with all patients.
  • Explores and collaborates with resources within the organization and community to meet defined patient needs.
  • Works with patient/family/caregiver to identify and build a plan of care addressing end of life issues.
  • Documents and prepares for a successful IDT meeting each week.
  • Documents a specific approach to meet psychosocial needs of the patient and family/caregiver.
  • Provides or arranges counseling to meet the psychosocial, emotional and spiritual needs of the patients/family members/caregivers in a manner consistent with their beliefs and desires and in accordance with the patient’s plan of care.
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