Hospital Liaison Social Worker

About the role

VIA Health Partners is seeking a dedicated Social Worker to join our hospice team. This position serves as the liaison between VIA and hospital systems, providing comprehensive care coordination and support.

Responsibilities

• Serves as the “face” and liaison between VIA and the hospital systems in our service area.
• Provides information to patients, families, and healthcare professionals interested in hospice services.
• Visits and assesses existing VIA patients admitted to the hospital within 24 hours of admission notification.
• Reviews inpatient medical records on all hospice consults, referrals, and existing patients.
• Collaborates with the appropriate Team Manager to determine admission status or level of care for existing patients.
• Initiates and maintains a liaison relationship with all hospital discharge planners and case managers to effectively coordinate and ensure collaborative management of the patient while hospitalized.
• Reliably communicates pertinent patient information to both members of the hospice interdisciplinary team and the hospital personnel.
• Ensures adherence to the hospice Plan of Care, while collaborating with hospital staff and incorporating individualized goals and interventions.
• Captures and communicates discharge disposition with the Referral Center Triage Nurse, Hospital Liaison Coordinator, and the primary hospice team.
• Presents hospice services, conducts hospice IPU psychosocial assessment to identify patient/caregiver needs, coordinates ancillary services, develops General Inpatient Plan of Care in conjunction with the Hospital Liaison Nurse, and begins collaborative discharge planning with hospital personnel for newly admitted hospice patients at the General Inpatient Level.
• Ensures accurate, complete, and timely clinical documentation in accordance with HPCCR guidelines.
• Works very closely with the Business Development and Marketing team, communicating any pertinent information, needs, or concerns relative to exceeding the expectations of the client/referral sources (i.e., Hospital Systems).
• Ensures accurate, complete, and timely clinical documentation in accordance with HPCCR guidelines.
• May perform other duties as required.

Requirements

• Master’s degree in social work from a Council on Social Work Education (CSWE) accredited institution if working as MSW.
• Medical social work or hospice experience preferred.
• Be licensed as a Clinical Social Worker Associate (LCSWA) or a Clinical Social Worker (LCSW) by the NC Social Work Certification and Licensure Board and SC Board of Social Work Examiners, Licensed Independent Social Worker – Clinical Practice (LISW-CP) and remain in good standing with the licensing board.
• Computer proficiency is required.

Qualifications

• Minimum qualifications: Master’s degree in social work from a CSWE accredited institution if working as MSW. Medical social work or hospice experience preferred.
• Licenses: Be licensed as a Clinical Social Worker Associate (LCSWA) or a Clinical Social Worker (LCSW) by the NC Social Work Certification and Licensure Board and SC Board of Social Work Examiners, Licensed Independent Social Worker – Clinical Practice (LISW-CP) and remain in good standing with the licensing board.
• Computer proficiency is required.