HOSPICE Medical Social Worker (Full Time)

Mô tả công việc

The Full-Time Medical Social Worker will provide wide range of psychosocial services to terminally ill patients and their families, including regularly assessing the patient and family psychosocial needs, and pre-bereavement/ anticipatory grief needs.  Implements the plan of care to meet the needs of the patient/family which include: social service goals for alleviating problems, supportive counseling, problem solving, community referrals, pre-bereavement and bereavement care.  Regularly re-evaluates the patient’s and family’s psychosocial needs.  Adheres to company policies and procedures, regulatory compliance and directives.  Manage related expenditures in a fiscally responsible manner in accordance with company’s budget. MAJOR RESPONSIBILITIES  Conduct initial psychosocial and initial bereavement assessment of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion. Function as a support person for the patient/family/caregiver on an ongoing basis. Function as expert and facilitator of obtaining community resources to meet the needs of patients and families, including financial assistance.  Assist families with referrals to community resources when indicated. Assist family/patient with advanced directives. Assist family/caregiver in placement of patient in a facility for basic care, when appropriate. Complete and maintain all patient records at patient’s residence and submit accurate and relevant notes regar4ding patient’s condition and care given. Provide psychosocial and pre-bereavement assessment assessments and counseling to patients     and family/caregiver. Attend and actively participate in team meetings, staff meetings and in-services, and contributes positively to patient care planning Conduct pre-bereavement and bereavement visits or contacts and/or support groups as appropriate. Work with other members of the interdisciplinary team. Provide and maintain a safe environment for the patient, Assist patient/family/caregiver and other team members in providing continuity of care. Participates in evening/ weekend calls as required, conducting on call services in a clinically competent and responsive manner. Maintain clinical records, statistics, reports and records for purpose of evaluation and reporting of agency activities as prescribed and in compliance with local, state and federal laws. Maintain caseload and deliver care in a cost-effective manner that demonstrates an understanding of hospice reimbursement methodologies. Assure for compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures. Maintain all appropriate state licensing requirements. Actively participate in staff meeting meetings, department meetings, team meetings, briefings, in- services, committees and other related activities as needed. Use supplies and equipment safely and efficiently. Regular attendance is to be maintained. Adherence to code of conduct conducive with company policy is expected. Meet or exceed delivery of company services standards in a consistent fashion. Interacts with staff in a positive and motivational fashion supporting the company’s mission. Conducts all business activities in a professional and ethical manner. Create and maintain a professional atmosphere. Meet with patient and family/caregiver to present hospice program. Obtain signed consents by DPOA for HC and patient if patient is alert and oriented. COMMUNICATION Completes, maintains and submits accurate and relevant clinical notes regarding patient condition and care given at the time the assessment is done or care given. Records pain/symptom assessments and management, changes/outcomes to pain/symptom management as appropriate.   Communicates with the facility staff or community health related persons to coordinate the plan of care for each assigned patient.  Works in concert with the hospice Interdisciplinary Group/Team members. Provides and maintains a safe environment for the patient. Assists the patient, family/caregiver and other team members in providing continuity of care. Works in cooperation with the patient and family/caregiver and the hospice Interdisciplinary Group/Team members to meet the emotional needs of the patient and family/caregiver. Attends the Interdisciplinary Group/Team meetings regularly.