Social Worker-$2000 Sign on bonus offered

Responsibilities

• Conducts a complete psychosocial assessment of the patient and family and the initial bereavement assessment within five (5) days of admission to hospice care in the Electronic Medical Record.
• Collaborates with the Interdisciplinary Team (IDT) to formulate the Plan of Care (POC) at the time of admission.
• Must be available to discuss the POC with the admitting RN on the day of admission for new patients.
• When requested by the patient/family, conducts regular social work visits and documents the assessment, interventions and outcomes of the visit.
• Assists patients and families as needed with insurance needs.
• Upon admission evaluates insurance coverage and helps with obtaining Medicaid or other insurance coverage when the patient does not have a payer source.
• Congrates with the Volunteer Coordinator in requesting and monitoring volunteer services.
• Participates in the IDT Meeting and updates the POC at least every 14 days.
• Acts as consultant to hospice program staff.
• Communicates all changes in the patient’s level of care status to the Patient Care Coordinator.
• Participates in discharge planning.
• Responsible for facilitating discharge and transfer of patients to other healthcare providers when hospice care is no longer requested or appropriate, and completes the appropriate paperwork.
• Participates in the Quality Improvement Process and evaluation of social services.
• Identifies psychosocial problems and establishes goals that are pertinent, personalized, and measurable as evidenced by documentation in the Electronic Medical Record.
• Demonstrates knowledge of the Hospice Benefit and is able to convey that knowledge to patients and families.
• Conducts the after death bereavement assessment.
• With the Chaplain makes bereavement telephone calls to caregivers.
• Initiates bereavement telephone calls to follow up with families (after 1 week; 2 months; 6 months and 12 months) following the death of a patient.
• Explains Advanced Directives to Patients/Families and communicates and documents patient decisions to the patient’s attending physician.
• Aids patient/family with making funeral arrangements, as needed.
• Aids with community outreach by providing in-services and/or other forms of education related to hospice care in the community as planned with the Hospice Administrator and other IDT members.
• Documents patient and family response to psychosocial interventions in an accurate, and timely manner and is completed in the Electronic Record.
• Transfers of electronic information must be completed at least twice daily.
• Delivers or supervises the delivery of social services to the patient and/or family.
• Knowledgeable of federal, state and local/community resources for patients, when appropriate, and assists patients/families in identifying and accessing these resources.
• Maintains and updates regularly a Social Work Community Resource Guide with a current copy maintained in the office, with the Administrator and electronically.
• Attends staff meetings to remain current in hospice policies and procedures, as evidenced by attendance roster.
• Communicates with other team members concerning changes in patient condition and gives accurate reports on assigned patients.
• Reports any changes in the emotional, social, or financial condition of the patient or family to the attending physician; and documents interventions.
• Obtains physician's orders for services, as necessary.
• Must be willing and available in an on-call rotation to make after hours visits (i.e. on weekday evenings or on the weekend) when needed for a patient’s death, funeral, or admission, etc. or psychosocial crisis.
• Reviews and updates the plan of care (POC) as often as necessary.

Qualifications

• Tennessee and Missouri = MSW preferred, minimum BSW required
• Virginia = MSW preferred, BSW required and two years experience
• South Carolina = Social Work Licensure Required; LMSW required
• Georgia = Social Work Licensure required; LMSW preferred, Min. LBSW required
• If minimum requirement is a Baccalaureate degree in Social Work. This is only available as long as Caris is able to arrange ongoing supervision and oversight by an MSW
• One (1) year of social work experience in a health care setting.