Hospice Social Worker
Company: Memorial Health System
Posted on: September 12, 2019
Performs duties relevant to addressing the psychosocial concerns of
Memorial Health System patients and families. Mobilize health,
psychosocial, and economic resources in order to promote optimal
outcomes for the patient and family. Collaborates and partners with
patients and providers as an integral member of the care team and
act as a liaison by advocating between the patient, family,
healthcare providers, services, and community agencies in order to
expedite use of healthcare services in the community and across the
continuum of care. Education:Master's degree of Social Work from a
School of Social Work accredited by the Council on Social Work
Education. Licensure/Certification/Registry:Illinois Licensed
Social Worker required. Licensed Clinical Social Worker
preferred.Where required, will accept a Memorial Health System car
for business purposes only as deemed necessary by geography or
mileage. Valid IL driver license and must be deemed as an
acceptable driver in accordance with the MHS Fleet Safety Policy
(five year MVR will be required). Experience:Experience working
with adults across the life span presenting with chronic or serious
illnessExperience identifying and coordinating the needs of
chronically ill patients and families as well as supporting the
care teamUnderstanding of psychosocial implications of illness,
hospice and/or home care death and dying issues. Knowledge of local
community resources.Knowledge and understanding of individual
development and human behavior as it relates to the effects of
illness and of the influence of culture on healthcare Other
Knowledge/Skills/Abilities:Flexible problem solver who is eager to
tackle complex problems and tasksExcellent verbal and written
communication skills; ability to solve problems creativelyAbility
to work across multiple sites of care and multiple members of a
care team while managing competing commitments through clear
communicationsAbility to work in a changing and ambiguous
environment.Self-starter with initiativeExperience identifying
issues and developing and implementing solutions Must possess
strong oral and written communication skills, planning skills,
problem-solving skills, and personal diplomacy skills. Demonstrates
personal traits of a high level of motivation, team orientation,
professionalism and trustworthiness.Excellent PC skills, including
the use of Microsoft Office products. Familiarity with EMR clinical
products preferred.Current driver's license and transportation.
- Biopsychosocial Assessment
- Utilizing specialized knowledge and experience, make assessment
of patients' psychosocial needs, home situation and economic
- Psychiatry assessments must be completed within 3 working days
of patient's admission and include regulatory mandated
- Community Resources
- Serve as liaison between patients/ families and community
- Coordinate information and referrals for financial and
community resources to link patients/families to the appropriate
- Serve as resource to clinical team, patients and families
regarding entitlement to programs and support services
- Develop strong working relationships with internal and external
healthcare organizations and community resources.
- Work with patients to formulate an individualized plan to
obtain medication, particularly, in light of Medicare coverage
limitations including the facilitation of enrollment in various
drug companies' patient assistance programs when warranted
- Care Delivery
- Work closely and collaboratively with the clinical care team
across sites of care
- Assist the team with care delivery by scheduling appointments,
arranging interpreters, assisting with the completion of forms,
ensuring that patients can access services, and arranging
transportation to and from medical appointments as needed
- Participate in clinic office visits, team rounds, or family
conferences with when needed based on site of care
- Care Transitions
- Coordinate patient care with other disciplines involved in the
plan of care and maintain appropriate documentation
- Confer with the patient, family, and clinical team to obtain
information to coordinate efficient and quality patient care.
- Build relationships with primary care providers, skilled
nursing facilities, and the community to promote continuity of
- Provide crisis intervention and supportive counseling for
patients and their families as needed
- Serve as patient advocate, assisting with navigation of patient
eligible resources and programs
- Provide patients and families with support and information to
overcome personal and environmental difficulties which pre-dispose
toward illness or interfere with obtaining maximum benefits from
- Assist patients to effectively utilize available resources to
meet their personal health needs and help them develop their own
- Evaluate patients' ability to independently manage self and
locate alternative resources when limitations are identified
- Advance Care Planning
- Maintains a working knowledge of relevant medical/legal issues
that impact patient care, e.g., advance directives, power of
attorney, and guardianships.
- When requested, provide group, individual, and family
counseling to patients and their families as requested
- Discharge Planning
- Initiate discharge planning when patient is admitted.
- Assure that discharge plans are secured when patient is
medically ready for discharge
- Assure that all necessary information has been transmitted to
next provider of care.
- Record documentation for all social work activities in the
electronic medical record in a timely and thorough manner.
- Psychiatry colleagues must document in record after each
session and supports information needed for Utilization Review
criteria and the patient treatment plan.
- Adhere to department productivity standards.
- Participate in the monitoring of quality and utilization
metrics and participates in improvement efforts to refine the
delivery of care to maximize clinical, quality, and fiscal
- Assists, as needed, in the staff training, new employee
orientation, student education, community education, in-house
activities, and general public relations activities.
- Refer to ancillary teams when warranted.
- Aware of and comply with department and hospital policy and
- Demonstrates knowledge of care for older adults through
accurate assessments, treatment and effective implementation of
- Adhere to the NASW Code of Ethics.
- Comply with the Illinois Mental Health Code and Confidentiality
- Participate in continuing education and in-service training to
support professional growth and expertise.
- Perform other related duties as assigned. The intent of this
job description is to provide a representative summary of the major
duties and responsibilities performed by incumbents of this job.
Incumbents may be requested to perform tasks other than those
specifically presented in this description.
Keywords: Memorial Health System, Springfield , Hospice Social Worker, Healthcare , Springfield, Illinois
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