SOCIAL WORKER

Housecall Providers https : / / www.housecallproviders.org /

Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.

Our Mission

Improving lives by bringing health care home.

Our Vision

To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.

Our Values

Compassion and respect, authentic relationships, collaboration, courage, social justice.

Diversity Statement

We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.

The quadruple aim is real at Housecall Providers

In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider / care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC / Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

Job Title

Social Worker

Department

Advanced Illness Care

Exemption Status

Non-Exempt

Requisition #

24627

Direct Reports

N / A

Manager Title

Advanced Illness Care Manager

Pay & Benefits

Estimated hiring range $38.19 - $46.67 / hour, 5% bonus target, full benefits.

www.careoregon.org / about-us / careers / benefits

Posting Notes

This community-based position has the opportunity to move to a 4 / 10 schedule after training. The training schedule will be M-F, standard business hours. The position will start at 0.6 FTE for the remainder of 2024 (after training) and will increase to 1.0 FTE as of 01 / 01 / 2025.

Job Summary

The Social Worker is responsible for delivery of social work services to patients, including psychosocial evaluations, ongoing counseling, casework services, coordination of referrals, transitions, and potentially palliative care and bereavement services. These patients may have advanced illnesses and often have other complex medical / psychosocial / addiction issues. The Social Worker provides support and care for patients in various settings including : all types of patients home settings, assisted living residences, shelters, hospitals, emergency departments, skilled nursing facilities, clinics, and specialty settings.

Essential Responsibilities

• Conducts comprehensive psychosocial assessments and makes appropriate referrals to community resources as well as provides education to patients and families regarding community resources, benefits and entitlements.
• Collaborates with clinical and support staff regarding patient / family / caregiver issues.
• Conducts patient and family counseling and education considering family system / dynamics and coping methods to all age groups and makes appropriate referrals to other community resources if indicated.
• Help patient and family / caregiver develop coping strategies to manage declining physical health, and emotional or spiritual needs.
• Closely partners with patient providers and interdisciplinary care team across the continuum to facilitate care that meets the individuals personal needs, values, and preferences.
• Provides short term crisis intervention and assumes active role of advocate for family.
• Assists clinicians and clinical teams with management of transitions of care when patients are moving from one setting to another, including (but not limited to) from place of residence to hospital or nursing home and back, assisting with placement as needed.
• Provides direct patient care support in a variety of settings. For those working closely with advanced illness patients, the Social Worker utilizes palliative care principles, trauma informed care, motivational interviewing and case management strategies.
• Participates as a member of interdisciplinary care team assisting with establishing and implementation of psychosocial care plan in patients with serious, complex and / or chronic illness which could include partnering with Primary Care, Hospice or AIC team members.
• Assists patients and family with advance care planning which includes discussions about goals of care / treatment, answering general questions about power-of-attorney documentation, the POLST form and the Oregon Advanced Healthcare Directive Form.
• Communicate and coordinate with other providers to ensure care is coordinated and consistent with patients goals of care, including AD / POLST.
• Assists with establishment of POA-HC (power of attorney for health care) and with establishment of end-of-life care plans as needed.
• Provides education to patients, family members, caregivers and Housecall Providers staff regarding mental health issues, grief, resiliency, hospice services, community resources, benefits and entitlements.
• Provides consultation on ethical issues that arise for HCP staff.
• Conducts mental status exams (e.g., MMSE, SLUMS, MoCa) as requested by Providers.
• Provides advocacy for patients and families with various community agencies, care facilities and other institutions as needed.
• Assists clinicians with organization and / or facilitation of care conferences for assessment, education or conflict management.

Organizational Responsibilities

Experience and / or Education

Required

Preferred

Knowledge, Skills and Abilities Required

Skills and Abilities

Working Conditions

Work Environment(s) : ? Indoor / Office ? Community ? Facilities / Security ? Outdoor Exposure

Member / Patient Facing : ? No ? Telephonic ? In Person

Hazards : May include, but not limited to, physical and ergonomic hazards.

Equipment : General office equipment

Travel : Requires travel outside of the workplace at least weekly; the employees personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Schedule : This position may occasionally require more than 8 hours per day.

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.

Salary : $38 - $47