Hospice Of Santa Cruz County Scotts Valley , CA 95067
Posted 1 week ago
The Hospice Per Diem Social Worker is a member of the Variable Staffing Team and is responsible for the co-case management of hospice patients and families. In collaboration with patient/family, physician and interdisciplinary team, develops and coordinates an individualized Plan of Care (POC) that reflects patient/family centered goals related to Safe & Comfortable Dying, Self-Determined Life Closure, and Effective Bereavement. Also addresses the multiple psychosocial issues that affect Hospice patients and their families/caregivers.
Essential Responsibilities
Patient and Family Care/Case Management
Develops an individualized documented plan of care reflecting patient/family goals and provides social work services as outlined in the plan of care
Identifies and monitors potential psychosocial hot spots.
Provides co-case management support for issues related to care giving, advance directives, funeral planning, community resources and insurance benefit oversight
Provides co-case management support for issues related to grief and loss, family dynamics and psychosocial history
Exercises professional expertise in managing and coordinating care between and among involved parties in home, SNF and RCFE setting
Respects patient right to self-determination and acts as an advocate within the context of the vision, mission, values and ethical standards of HSCC.
Assists Admission department with resourcing, assessment, information and registration process as requested
Ensures documentation is accurate, organized, legible, and a complete reflection of services provided as well as an interdisciplinary approach to care. Utilizes only approved abbreviations to ensure clarity of documentation
Demonstrates the ability to articulate the parameters of hospice care and services
Demonstrates the ability to work with patients/families under stress and in crisis
Demonstrates understanding of Hospice Medicare/Medi-Cal Benefit and third party payors
Demonstrates professional demeanor, tact, and respect in dealing with all patients, families, staff and volunteers
Responds with flexibility to the changing needs within the assigned caseload
Participates in weekend and holiday Social Work coverage.
Performs other related job duties as assigned by Supervisor
Compliance
Ensures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, State and Federal Laws and all other regulatory/compliance requirements are understood and followed
Submits verification of MSW degree from accredited school, passes OIG/GSA and background checks
Signs Vehicle Insurance Acknowledgement upon hire and maintains a good driving record
Insures TB checks are completed in a timely manner; at least annually
Productivity
Provides visit frequencies that are within established agency standards
Follows all requirements for obtaining approval for overtime
Completes Psychosocial Assessment in a timely manner as required by performance standards
Provides concise and timely reports to appropriate team members as required by standards
Documents in a timely manner, all activities and services provided using electronic medical records systems
Submits completed time logs within the required time frames
IDT Participation
Functions as a member of the IDT maintaining open & organized communication with hospice staff, volunteers and supervisor.
Functions as social worker for hospice patients/families in the coordination/provision of care.
As needed, participates in IDT meetings in a manner that promotes problem solving, care planning and learning.
Quality Improvement
Meets all standards and requirements as indicated by licensing and accrediting agencies
Participates in continuing education opportunities both within and outside the agency
Participates in activities that affirm, enhance and develop the highest quality standards for HSCC
Participates in Quality Assessment & Improvement activities as requested
Special Projects
Requirements
Education
Experience
Minimum of 1 year of Social Work experience in a healthcare setting required
Prefer previous experience in hospice or other end-of-life care and services
Solid experience and/or aptitude with computer systems and electronic medical record systems and charting
Skills Desired
Strong verbal and written communication skills
Skilled in tact and diplomacy
Capable of bringing appropriate level of sensitivity and compassion to patients/families facing terminal illness, death and bereavement
Understands how to hold and apply appropriate boundaries for care
Knowledge of community social work services, resources and operational standards
Understanding of all applicable laws and regulations related to social work licensing
Understands and utilizes solid ethics in decision making and activities
Bilingual in English/Spanish highly desirable
Certifications, Licenses, Registrations
Physical Demands
Ability to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilities.
Sufficient dexterity to utilize electronic record keeping systems, computers/keyboards and/or laptops and other related equipment
Vision ability to read manual and electronic documentation, charts, office related equipment, instructions
Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team
Work Environment
Performs services in private homes and care facilities and will experience a variety of settings and situations.
Office work is performed in typical office setting.
Hospice Of Santa Cruz County