Hybrid Hospice and Home Health Medical Social Worker

Description

Job Title/Position:

Hybrid Hospice and Home Health Medical Social Worker (MSW)

Reports To

Hospice Clinical Manager/Home Health DON

Job Description Summary

The Hybrid Hospice and Home Health Medical Social Worker (MSW) is responsible for providing a wide range of psychosocial services to terminally ill patients and their families, as well as patients receiving home health care. This includes assessing psychosocial status, implementing care plans, and ensuring compliance with state Medical Social Work Practice Acts and company policies.

Essential Job Functions/Responsibilities

Psychosocial Assessment and Care:

• Conduct initial and ongoing psychosocial assessments of patients and families/caregivers.
• Develop and implement care plans including social service goals, supportive counseling, problem-solving, and community referrals.
• Provide pre-bereavement and bereavement support, including support groups as appropriate.
  
  

Patient And Family Support

• Serve as an advocate and support person for patients and families/caregivers.
• Provide information and refer to additional services as needed regarding practical and environmental needs.
• Assist families with advanced directives, end of life planning, and care facility placements when appropriate.
• Participate in discharge planning and ensure continuity of care.
• Link patients with community resources and services.
  
  

Collaboration And Communication

• Serve as an active participant with the Hospice IDG and attend routine IDG meetings every 15 days as scheduled.
• Maintain collaborative relationships with interdisciplinary team members.
• Participate in team meetings, case conferences, and in-services to contribute to patient care planning.
• Serve as a liaison between patients/families and community agencies, maintaining and developing contracts with public and private resources.
  
  

Documentation And Compliance

• Maintain accurate clinical records, progress notes, and reports in compliance with local, state, and federal laws.
• Ensure compliance with company policies, Medicare regulations, and professional standards.
• Manage related expenditures in a fiscally responsible manner.
  
  

On-Call And Additional Duties

• Perform other duties as delegated by the Hospice Clinical Manager/DON.
  
  

Qualifications

Qualifications:

• Master's degree in social work (MSW) from an accredited school required
• Licensure and/or certification as required by the state.
• Minimum of two years of social service experience in healthcare setting or social services.
• Knowledge of community resources and ability to obtain them for patients and families.
• Understanding of hospice philosophy and principles of death/dying.
• Ability to work independently in an interdisciplinary setting.
• Valid driver’s license and insured automobile in good working order.
• Satisfactory references and criminal background check.
• Excellent observation, judgment, and communication skills, with the ability to provide timely written documentation.
  
  

Physical Demands

• Ability to lift, pull, push, and manipulate equipment and patients/clients.
• Ability to sit and/or stand for long periods.
• Ability to operate an automobile and provide services in patients’ homes.
  
  

Work Environment

• Provide and maintain a safe environment for patients.
• Conduct all business activities in a professional and ethical manner.
• Create and maintain a professional atmosphere.