The Hospice Social Worker will provide direct social work services to all terminally ill patients and their families experiencing social, emotional, environmental and economic difficulties related to the impact of a terminal illness. The Social Worker is an active member of the Hospice Interdisciplinary Team. The Social Worker assumes, in part, responsibility for own personal and professional development. - Observe Universal Precautions in all patient/family contacts.
- Maintain patient/family confidentiality.
- Maintain the standards of Social Work in accordance with the guideline set forth by NJDOH, JCAHO, NHO and NJI-10.
- Performs a comprehensive psychosocial assessment on all patients (refer to SW P/P) to routinely include the philosophy and services through the CFHH&PC program. -Performs/maintains ongoing follow-up re-assessment visit, to determine ongoing needs of patients/families, as well as determining appropriateness for Hospice Program.
- Assists with the development and implementation of the interdisciplinary care plan as it relates to the psychosocial needs of the patient/family.
- Participate in joint visits or family conferences with other disciplines when needed. -Maintains clear and concise documentation of all visits, contacts, and interdisciplinary team case conferences in a timely manner.
- Maintains necessary documentation on interdisciplinary care plan.
- Assists with identification and completion of Risk Assessments.
- Provides individual and family counseling to assist in coping with the effects of loss, grief, death and dying, and bereavement.
- Facilitates patient/family support and/or educational groups where identified or requested.
- Provides patient information to departments engaged in statistical collection and related services.
- Identifies and provides linkage to community resources, acting as an advocate and serving as a liaison between patients and entitlement programs.
- Assists with the education and completion of Advance Directives in accordance with the New Jersey Advance Directives for Health Care Act and the Federal Patient Self Determination Act.
- Assists patients/families with information regarding burial as needed.
- Verifies and obtains copies of patient's Social Security number and insurance.
- Investigates secondary insurance information with regard to Hospice Care benefits. -Obtains, on initial Social Work Assessment, all required financial information to maximize alternate sources of reimbursement for hospice services and services covered by the patient's insurance plan.
- Participates in the following meetings:
- AM MEETINGS
- IDT MEETINGS
- TEAM MEETINGS
- SW STAFF METINGS
- GENERAL STAFF MEETINGS
- Participates in subcommittee meetings as requested, i.e. QI, PIP, Forms meetings.
- Participates in the orientation of new staff.
- Assists with the training of Social Work Field Placement Students as requested.
- Facilitates and/or participates in community educational inservice or outreach programs. -Coordinates and/or facilitates educational and support programs to in-house staff.
- Attends educational programs, seminars or conferences to maintain professional proficiency. -Completes a daily time sheet to reflect all activities performed each day.
- Completes a monthly statistical report to reflect SW activities.
- Complies with CFHH&PC Policies and Procedures
- Performs other duties as requested to meet the needs of the organization or SW department.
- Responsible for after hours and weekend call, as scheduled.
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