Work Status Details Full Time | 80.00 Hours Every Two Weeks
Exempt from Overtime Non-Exempt Shift Details 0800-1630 Department: Hospice | Reports To: Director-Home Health Care Hospice 26000 Employment Bonus paid within the first year
The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care.
Summary The social service worker is responsible for working in a team structure with the RN Case Manager to effect overall care coordination with the emphasis on psychosocial assessment and intervention, complex discharge planning, knowledge of community resources, appropriate documentation in the medical record, and networking and collaborating with other hospital disciplines and community agencies. The social worker assists the patient family/guardian and all members of the healthcare team in the discharge planning process. Social worker is accountable for intervening with patients and families by applying critical thinking skills to monitor psychosocial status and issues that impact the clinical progression and transition/discharge plan for patients, including coping and decision making. Demonstrates positive communication and interpersonal skills with patients, families, and coworkers, and participates in patient and family conferences as needed. The social worker must demonstrate the knowledge and skills necessary to provide age-appropriate patient care and is accountable to the policies and procedures of the organization. Social Worker in the Care Management Department is expected to adhere to the hospital and social work codes of ethics.
Listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.
Responsibilities Essential Job Duties and Responsibilities
Home Health Social Service Worker Essential Functions • Evaluates referrals and identifies the patients and familys psychosocial risk factors through evaluation of prior functioning levels, appropriateness, and adequacy of support systems, reaction to illness, and ability to cope. • Evaluates and identifies additional needs in accordance with established criteria and assesses the appropriate level of care as needed. • Collaborates with Nurse or Therapy Case Managers to address individual patient needs. • Communicates with the patient/family and healthcare team to assess and identify individual needs and desires, including those specific to the age of the patient being served (neonate, child, adult, and geriatric). • Assists the patient/family in investigating eligibility and applying for Medicaid or SSI by referring to the financial counselor as appropriate. • Utilizes community resources and refers the patient/family to appropriate agencies and services when necessary. • Communicates with extended care facilities to assure bed availability and arranges placement. • Arranges transportation for emergent and non-emergent transfers via ambulance, air ambulance, non-emergent transport, private vehicle, etc. • Documents patient interviews, evaluations, recommendations, and summarizes in the medical record. • Revises documentation as circumstances warrant, keeping patient information current and up to date. • Collaborates and works in partnership with the interdisciplinary treatment team in the transition/discharge planning for patients, regularly participates in team meetings and/or updates team on a regular basis. • Communicates information and judgments based on interaction with patient/family and keeps appropriate people aware of pertinent changes or problems in a patients condition as observed. • Demonstrates ability to prioritize workload in accordance with patient needs and in accordance with departmental goals and objectives. • Researches resources and maintains referral directory that is available to meet the social, economic, and emotional needs of the patient. • Observes all established policies and procedures throughout the daily work routine. • Understands the Social Services philosophy and principles of interdisciplinary team management and collaborative practice. • Ability to communicate with patients and their families regarding Important Message from Medicare IMM Appeal rights Home Health of Notice of Non-coverage HHCN Advance Beneficiary Notice ABN processes and deliver notifications.
Hospice Social Service Worker Essential Functions • Assess patient/family social and emotional factors in order to estimate their potential to cope with terminal illness and death. • Provide psychosocial counseling and support to the patient/family experiencing social and economic conflict. • Assist patient/family and staff in utilizing community resources. • Assess patient/family financial and insurance status and assist with appropriate resources as indicated. • Responsible for maintenance of electronic medical records, assuring accuracy, completeness, and compliance with regulations, certification standards, legal, and ethical standards. • Identify and address comfort care needs in collaboration with other members of the Home Health Care team. • Coordinate patient and family services. • Provide psychosocial education to patients, family, and caregivers about coping skills, hospice, and palliative care. • Facilitating advance care planning and lifespan planning. • Mediating conflicts with families between clients and the care team and between service organizations. • Maintain the dignity of the dying patient. • Support the patient/familys unique spiritual and cultural beliefs. • Assist patient/family with end-of-life plans, such as funeral arrangements or establishing an advanced directive. • Attends the weekly interdisciplinary team meetings. • Assess family regarding bereavement risk and offers/provides emotional support to survivors through mailings, calls, and coffee support meetings to bereavement families for a minimum of 12 months post death. • Refer survivors to professional assistance if noted complicated/high-risk grief.
Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule to include after-hours and weekends as necessary.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other Information Job Requirements The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.
Education Masters Degree required. Education Field of Study Social Work required.
Certificates, Licenses, Registrations Non-Violent Crisis Intervention program obtained within six full months from date of hire. Travelers-required upon hire required.
Previous Experience Requirements Previous clinical experience preferred. Previous healthcare experience preferred. 2 years of previous experience in the field preferred.
Skills Knowledge Requirements Skills Language Skills - Ability to read, write, speak, and understand the English language required. Other Certifications Requirements Current valid drivers license issued in the state of legal residence required. Operate FRHS owned vehicles required.
Faith Regional Health Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.