Hospice IDG Social Worker, Full-time

Job Summary This is a full-time position. This position is responsible to provide social work services for an assigned patient caseload, to facilitate patient admissions and/or initial psychosocial assessments, and/or to make visits on an assigned basis across Transitions service lines as directed by the Team Leader. The schedule for this position is Monday-Friday 8:30am-5:00pm; On-Call Rotation; 1 major or 2 minor holidays per year. Responsibilities what you do Provide psychosocial assessments of patients and families to identify emotional, social, cultural, financial and environmental strengths and problems related to their diagnosis, illness, treatment, and life situation. Support patient/family’s individual spiritual/cultural beliefs by assessing for cultural issues; developing culturally sensitive care plan and collaborating with interdisciplinary team in provision of culturally sensitive care. Formulate, develop, and implement a comprehensive psychosocial plan of care utilizing appropriate clinical social work treatments and intervention, while maintaining the dignity of the patient. Responsible for documenting assessments, care plans, interactions, and interventions according to regulatory standards and agency standards for service lines associated with the identified patient. Maintain awareness of patient payer source and assist the finance department in collecting accurate insurance information, including facilitating self-pay patients through the appropriate financial screening process (i.e. Medicaid, Charity Care,). Educate patients, families and referral sources on various levels of hospice care. Maintain a working knowledge of the Condition of Participation (COP’s) and other regulatory requirements affiliated with the Transitions service lines you are working within. Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals. Participate in IDG care teams and provide leadership in representing clinical social work perspective/liaison with patient and family. Provide appropriate education on hospice philosophy and services to potential new patients/family members/ and/or referral sources. Admit patients to hospice, in congruence with TL policies and procedures and relevant regulatory standards and conditions of participation. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation. Collaborates with facility staff and other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities Actively participates in the orientation and training of new employees of all disciplines. Keep current with social work and health care developments and seek to increase further enhancement of job-related knowledge. Maintain working knowledge of and liaison with community agencies and resources; assessing and referring patient/family to appropriate resources. Responsible for professionally managing time, people and technology. Performs other duties as assigned by supervisor. Expectations how you do it Model professionalism and empathy by consistently demonstrating compassion, respect, teamwork, and dedication in all interactions with coworkers, customers, and partners. Adhere to all TL policies, procedures, and organizational guidelines, ensuring compliance in daily work and decision‑making. Deliver care and services in accordance with ACHC Standards and Medicare Conditions of Participation when applicable to your role. Comply with all relevant state and federal laws, regulations, and professional standards within your defined scope of responsibility. Promptly communicate concerns, issues, or potential risks to your immediate supervisor or another member of the management team to support a safe and effective work environment Requirements what you need Master of Social Work from an accredited university Minimum one-year experience in health-related field (experience may include social work internships in a health care related organization). LCSW required within 3 years date of hire Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards. Strong commitment to agency wide DEI improvement efforts Competent computer skills Must have reliable transportation. Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients. May be required to lift and/or carry items up to 25 pounds. Must have abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job. Work hours and days including weekend and holiday commitments as outlined in Employee Information Agreement.