Social Worker MSW- Pearson Cancer Center- Full time, Days

Centra Health•Lynchburg, VA

About The Position

The Social Worker provides home care services to patients and their families, maximizing the use of personal, family, community, and health care resources. The role supports individualized care planning, counseling and education, communication with physicians and other practitioners, transitional planning, discharge planning, crisis intervention, and quality improvement. Care is provided within the applicable Medicare, private insurance, self-pay, and Medicaid guidelines.

Requirements

Master’s degree in Social Work.
At least two years of case work or counseling experience in a health care setting or social delivery system.
Demonstrated knowledge of community resources, with a focus on the geriatric population.
Proficiency with Microsoft Office computer applications and internet access.
Valid Virginia driver’s license.

Nice To Haves

One year of home health experience.
One year of behavioral health experience.

Responsibilities

Assess the home caregiver’s capacity to cope with the patient’s needs as part of care plan development.
Assess the patient’s third-party payer coverage to develop transitional plans.
Conduct ongoing interdisciplinary assessments and develop individualized care plans in partnership with the patient, representative, and caregiver(s).
Provide counseling to patients, caregivers, and families.
Provide education to patients and caregivers.
Communicate with the physician and other healthcare practitioners about the current home health care plan.
Participate in the HHA’s quality assessment and performance improvement program and HHA-sponsored in-service training.
Maintain working knowledge of transitional facilities, community resources, and available agencies.
Use empathy and negotiation skills when assessing patients’ and families’ transitional level-of-care needs.
Apply knowledge and skills appropriate to the developmental, spiritual, and cultural needs of patients.
Direct discharge planning.
Assist the attending physician and interdisciplinary team in evaluating patients’ psychosocial needs, demonstrating understanding of diagnosis, prognosis, care needs, and outcome goals.
Identify patients requiring crisis intervention and act to resolve the issues.
Maintain current knowledge of state and federal changes affecting the patient population.
Maintain knowledge of current regulatory, accreditation, and third-party payer guidelines.
Monitor documentation for accuracy and integrity.
Participate in and support ongoing quality improvement activities.
Participate in care planning for patients served.
Provide quality care within Medicare, private insurance, self-pay, and Medicaid guidelines.