Social Worker - Home Health - Hospice - Palliative Care

Presbyterian Healthcare Services • Goleta, CA

35d • $30 - $46

About The Position

The Home Health/Hospice/Palliative Social Worker is responsible for the development, planning, implementation and evaluation of psycho/social interventions for patients followed in the Home Health, Hospice IP/OP, and Palliative programs. How you grow, learn and thrive matters here. • Educational and career development options, including tuition and certification reimbursement, scholarship opportunities • Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) • Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) • Malpractice liability insurance • Loan forgiveness through the New Mexico Higher Education Department • EPIC electronic charting system

Requirements

• Social Worker MSW III Masters degree in Social Work required.
• Current license from the State of New Mexico as a Licensed Clinical Social Worker-LCSW, Licensed Independent Clinical Social Worker-LICSW or Licensed Master Social Worker-LMSW.
• 10 years hospital social work or discharge planning experience in relevant setting.
• Working knowledge/experience in case management.
• Social Worker II Masters degree in Social Work required.
• Current license from the State of New Mexico as a Licensed Clinical Social Worker-LCSW, Licensed Independent Clinical Social Worker-LICSW or Licensed Master Social Worker-LMSW.
• 5 years hospital social work or discharge planning experience in relevant setting required.
• 1 year hospital social work experience, protective services, or practicum in acute care settings experience desired.
• Social Worker I Masters degree in Social Work required.
• Current license from the State of New Mexico Licensed Master Social Worker-LMSW.
• 1 year hospital social work experience, protective services, or practicum in acute care settings experience desired.

Nice To Haves

• National Case Management certification or SW Palliative Care Certification; ACHP-SW or APHSW-C preferred.
• National Case Management certification or SW Palliative Care Certification; ACHP-SW or APHSW-C preferred.
• National Case Management certification or SW Palliative Care Certification; ACHP-SW or APHSW-C preferred.

Responsibilities

• This position will be responsible for identifying patients who have complex psycho/social needs, require assistance with eligibility determination for social programs and funding sources and who may qualify for community assistance from a variety of special funds and agencies.
• In addition, the Hospice/Palliative Care Social worker operates as the mental health professional of the team.
• All interventions are aimed at improving Quality of Care/Life and decrease complications and readmissions.
• The HPSW offers crisis intervention to patients and families with psychosocial needs and coordinates and facilitates the development of a plan of care for all patient populations.
• This role will receive referrals and consults for patients from at risk populations from interdisciplinary team members, including physicians, Case Managers, staff nurses and other members of the care team, in addition to case findings.
• Social work interventions and services may be assigned in person, via phone, and/or via telehealth means.
• Provides Home Health, Hospice IP/OP, and Palliative Social Work across the outpatient and inpatient settings.
• Based on the referral, consultation or case finding assess patients and family s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
• Completes Psychosocial assessment and provides psychosocial interventions.
• As active participant of IDT contributes to and manages the patient plan of care.
• Provides strengths-based person and family center of care.
• Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability, provides psychoeducation.
• Provides supportive counseling to patients / families experiencing and/or anticipating issues to adjusting to illness, catastrophic diagnosis, changes in living situations and bereavement.
• Intervenes with patients demonstrating complicated grief and explores bereavement related to possible death and multiple aspects of loss and adaption along the continuum of care.
• Provide anticipatory guidance.
• Provides non-pharmacological pain and symptom management, reinforces patient and family personhood and coping as they negotiate complications with chronic illness and end of life.
• Assist Hospice Chaplain with developing plan of care.
• Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
• Facilitates family meetings.
• Participates in discharge planning activities in collaboration with other staff for patients, to ensure a timely discharge and to provide appropriate linkage with post-acute providers.
• Provides clinical guidance and consultation to interdisciplinary primary teams, including social workers, and case managers, prompting continuity of care as well as safe and comprehensive care coordination and discharge planning as indicated.
• Works with families exhibiting complex family dynamics that impact directly on patient care and discharge.
• Educates patient/family and interdisciplinary team regarding post-acute options and addresses issues of choice.
• Actively participates and provides pertinent information in complex rounds discharge planning huddles, case conference, and whiteboard rounds.
• Provides intervention in child abuse/neglect, domestic violence, guardianship-temporary/ permanent, foster care, adoption, mental health placement, advance directives, adult/elderly abuse, child protection and sexual assault.
• Supervise and mentor Social Workers enrolled in Master level programs to fulfill practicum clinical hours for licensure and diploma requirements.
• Participates in on call rotation as required by department.
• All other responsibilities as assigned by supervisor.

Benefits

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
• Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees