Medical Social Worker BSW - Excela Home Health & Hospice

$5,000 Sign on Bonus

Complete thorough assessment/reassessment of patient and family information via in-person or telehealth visit.

• Include medical, social, environmental and spiritual/cultural factors which may impact treatment plans and patient response and compliance.
• Prepare psychological histories to augment existing service, or as a guide in determining or changing level of service.
• Assess a patients' financial situation taking into consideration patient's prognosis and medical needs, referring to an agency for financial assistance when indicated, interpreting the medical situation to the referring agency and facilitating the process of referral.
• Collaborate with professional staff to identify social problems, interrelatedness to the medical situation as well as assessing a patients/family's strengths and weaknesses, and discuss alternate methods of intervention.
• Complete accurate, timely and appropriate documentation and communication of services rendered, plan of care, patient education, progress toward goals, and care, cost and quality outcomes.
• Participate with medical team members in development of the plan of treatment and discharge planning.
• Provide therapeutic goal directed counseling services to patients and families in order to facilitate the process for desired patient outcomes.
• Assist with health care decision making, patient rights, patient self-determination, customer satisfaction, length of stay and resource consumption.
• Apply advanced interpersonal skills in counseling, critical thinking, conflict resolution, negotiation, mediation, advocating and education when dealing with patients, families and co-workers.
• Provide support and assistance to staff members giving care to patients.
• Contribute to the educational programs of a student, new employee or others who might be receiving experience in this area.
• Demonstrate extensive knowledge of community resources and expertise in accessing social systems.
• Provide healthcare consumers with specific information relevant to presenting problems or expressed needs in order to improve health status, promote wellness and healthy life styles.
• Assist patient/family to obtain economic stability through referral to assisting agencies.
• Hospice role- understand the hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient.
• Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation.
• Provide counseling services to Hospice patient/family regarding adjustment to terminal illness, emotional conflicts, financial planning, funeral arrangements, and the use of community services.
• Attend interdisciplinary team meetings and interprets the patient/significant others' psychosocial response to the terminal illness.
• Collaborate with medical, nursing and counselor members of the core team to review patient referrals, develop the initial plan of care, and assess the need for inpatient and respite admission.
• Make pre-admission visits when requested.
• Complete a psychosocial assessment of hospice patients and families and provide follow-up care as determined by the interdisciplinary team.
• Assess patient/family spiritual needs and communicate with community clergy, as needed and request by patient/family.
• Assess survivor risk factors before death, and make bereavement referrals.
• Perform in accordance with Excela Health universal behavioral/costumer service standards and competencies to support the mission, vision, and values of the Health System as patient census dictates, to provide quality necessary care where patient need is greatest.