SW Hospice Coordinator NE - East Region

Cleveland Clinic

12d

About The Position

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. This caregiver will support the East Region, which includes Euclid, South Pointe, Hillcrest, etc. The Hospice Social Worker acts as a member of the interdisciplinary team for the assigned functions related to the coordination of services with internal and external referral sources. You will be responsible for processing inpatient referrals into hospice, ensuring continuity of care and coordinating discharge planning in contract facilities. The Social Worker also provides assessment, planning and direct patient care to hospice patients in accordance with the agency policies and procedures and the plan of care established by the interdisciplinary team. It will be your goal to keep patients comfortable and provide symptom management. A caregiver in this position works days from 8:00AM – 4:30PM, including every 4th weekend and 2 holidays per year.

Requirements

Master's Degree in Social Work from an accredited school of Social Work (CSWE)
Current Licensure as a Social Worker (LSW) in the State of Ohio
Two years of varied work experience as a Master’s prepared Social Worker
Current Basic Life Support (BLS) certification through the American Heart Association (AHA) or the American Red Cross
Knowledgeable regarding JCAHO and Medicare standards and regulations
Ability to build relationships with patients, physicians, community agencies and institutions while providing excellent customer service

Nice To Haves

Hospice experience

Responsibilities

Engage and educate potential customers about the benefits and appropriateness of hospice care.
Ensure the patient and his/her family have adequate knowledge and understanding of the hospice benefit.
Process inquiries for all new referrals (internal and external).
Ensure seamless transition from hospital to the community setting by coordinating the following hospice services at time of discharge: Ordering supplies and DME, Hand-off communication with field team, and Documentation in the electronic medical record
Perform and document an initial assessment within three days of admission, utilizing interview, observation and other available information.
Establish plan of care for patients and documents intervention within three days of admission.
Visit/contact each patient and family according to established plan of care.
Implements the established plan of care with each visit.
Perform daily assessment and coordinate the plan of care with in-patient staff for General Inpatients (GIP).
Assess patient for safety risks, abuse and neglect.
Evaluate the patient and family and provide appropriate intervention with each visit.
Revise/update patient care plan at each visit/contact based on change in patient condition/status or response and evaluation/effectiveness of interventions.
Counsel patients/families/caregivers as needed in relationship to stress and other identified coping issues.
Assume responsibility for coordination of care for managing a caseload of patients in the inpatient setting.