Job Details

Master's in Social Work. LCSW preferred. Palliative Care Requirements: 2 years SW experience PERFORMS BIOPSYCHOSOCIAL ASSESSMENTS AND DEVELOPS A PLAN OF CARE FOR PATIENTS AND FAMILIES. • In a timely manner, gathers appropriate data and formulates relevant assessment of patient and family's medical, social, and emotional situations using effective interviewing techniques, direct observation, consultation with healthcare team, and review of the medical record. • Establishes and periodically revises the plan of care on the basis of ongoing psychosocial assessment of patient/family's concerns, strengths, needs, clinical impressions, and issues specific to spiritual and cultural values. • Appropriately gathers data reflective of the patient's and family's developmental stages and incorporates data into assessment and plan of care. • Appropriately assesses for discharge planning resources. • Appropriately assesses suspected situations of abuse and/or neglect. PROVIDES DIRECT CLINICAL SERVICES, WHICH MAY INCLUDE DISCHARGE PLANNING/TRANSITIONS OF CARE, INDIVIDUAL AND FAMILY COUNSELING, CRISIS INTERVENTION, FACILITATING EDUCATION AND SUPPORT GROUPS AND LINKAGE WITH RESOURCES TO PATIENTS, FAMILIES, AND STAFF AS INDICATED BY BIOPSYCHOSOCIAL ASSESSMENT AND PLAN OF CARE. • Establishes therapeutic relationship while recognizing diverse cultural norms and spiritual values. • Communicates effectively to empower patients/family's to develop productive coping mechanisms, behaviors and thought processes. • Identifies and effectively addresses resistance and conflict in work with patients. Intervenes to decrease tension and assist patient in evaluating non-productive behaviors. • Demonstrates self-awareness by recognizing and monitoring personal values, boundaries, sensitivities and emotions to effectively intervene with the patient/family. • Provides psycho-education to patient/family related to health literacy, transitions of care, and community resources. • Provides education to interdisciplinary staff regarding high-risk and psychosocial aspects impacting patients/family. • Identifies and provides linkage to community resources. • Coordinates discharge planning/transition of care by providing resources and initiating referrals to appropriate agencies as needed. ADVOCATES ON BEHALF OF PATIENTS AND FAMILIES FOR SERVICES, ACCESS TO CARE, AND FOR THE PROTECTION OF THE PATIENT'S SAFETY AND RIGHTS. • Promotes the patient's right to self determination. Assists the healthcare team in understanding the patient's perspective. • Advocates for culturally and linguistically competent care. • Assists in identifying ethical issues, utilize the chain of command and/or refer to the Bioethics Committee. • Appropriately intervenes in situations of suspected abuse and/or neglect. • Advocates to address psychosocial barriers that impact transitions of care. DOCUMENTS IN THE PATIENT MEDICAL RECORD AND OTHER HOSPITAL/ DEPARTMENT RECORDS IN AN ACCURATE, CONCISE, AND TIMELY MANNER. • Maintains accurate, current, patient records using approved forms and format. • Documents all assessments, plans, interventions, patient/family involvement, outside agency communication, interdisciplinary contacts and case closure according to social work and patient care area standards. • Complies with all documentation and reporting requirements for risk management, mandated reporting and other medical/legal situations, in a manner consistent with confidentiality regulations and department standards. • Submits patient billing forms (outpatient programs), administrative forms, and other information requests or reports to the department, other departments, and community agencies in a complete, accurate and timely manner. ESTABLISHES AND MAINTAINS POSITIVE, EFFECTIVE RELATIONSHIPS WITH OTHER HOSPITAL DEPARTMENTS, MEDICAL STAFF AND COMMUNITY REPRESENTATIVES. • Interprets clinical findings, promptly communicates assessment and plan of care updates. Collaborates with healthcare team and agency representatives, adhering to confidentiality guidelines. • Responds quickly to requests, flexibly adapts to changing priorities, and keeps other departments informed of progress on patient referrals and other work activities to ensure efficient coordination of activities. • Develops positive, productive relationships with healthcare team members and representatives of community agencies, effectively collaborating on process improvement activities and staff/community education. • May serve as a member of hospital committees, such as the Bioethics Committee. FOSTERS AN ENVIRONMENT OF MUTUAL SUPPORT AND PROFESSIONAL EXCELLENCE THROUGHOUT THE DEPARTMENT. • Actively builds positive relationships throughout the department. Uses effective interpersonal communication skills. • Flexibly adapts to changes in the work environment, resolves issues related to assignments and departmental functioning in a timely, positive and effective manner. Demonstrates a commitment to teamwork, by willingly accepting responsibilities and performing assignments beyond the immediate scope of routine duties. • Actively participates in department activities including huddles, staff meetings, committees and task forces. • Meets all applicable hospital and department standards for productivity, performance metrics, annual competency validation, safety education, licensure, and departmental performance/process improvement. • Participates in orientation of new staff or interns. Provides guidance and case consultation to interns and colleagues.