Covenant HealthCare US:MI:SAGINAW DAY SHIFT PART TIME BENEFITED Summary:

This individual is responsible for augmenting the other home health care services provided by the agency. The clinical social worker prepares social histories, treatment plans, treatment goals, progress notes and discharge notes for home care, palliative care and hospice clients and their families. The MSW assists staff in understanding significant psychosocial factors related to or affecting a client's health status or aids in referrals to social agencies for problem resolutions. This position is responsible for the facilitation of Hospice and Palliative Care Bereavement services and provides supervision of the BSW as required. The Social Worker-MSW demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Extraordinary Care for Every Generation.

Responsibilities:

Assess social, emotional, financial, spiritual and support system status for hospice, palliative care and home care patients and families. Assess special needs related to cultural diversity and communication patterns. Assess potential risks including suicide, fraud, and abuse. Assess for spiritual need. Assess environmental resources for safety. Assess need for counseling related to pathological grief. Identify obstacles to compliance. Evaluate for and assist with placement into long-term care when appropriate. Interprets patient response and collaboratively identifies interventions to maximize positive outcomes. Actively prepares and participates in accrediting agency surveys. Provide social casework for hospice, palliative care and home care patients and families. Assist with provision of bereavement services. Able to assume role of Bereavement Coordinator supervising bereavement program and working with Hospice/Palliative Care Manager to maintain compliance with regulations as directed. Provide support to other VNA departments where social work support is needed. Serve as a patient and family advocate. Ensure continuity, timeliness, and appropriateness of care for designated caseload. Ensure timely completion of plan of care and communication with IDT. Involved in the process for delivering the Advanced Beneficiary Notice of Non-Coverage. Builds relationship within the organization and serves as a resource to the healthcare team related to community resources. Ensures timely completion and reporting of all documentation. Reviews cases for risk management issues and intervenes when indicated. Facilitate community grief support group. Provide assistance with Advance-Directives and funeral planning. Assist other caregivers (RN's, MSW) in explaining available community, hospice, palliative care or home care services. Participate in area social service groups as indicated. Provide presentations to local community groups and staff on a variety of topics. Demonstrates age specific competency in all age groups: Infant, Pediatric, Adolescent, Adult and Geriatric Represents agency in a professional manner. Completes annual education and compliance per VNA Policy and agency accreditation guidelines. Maintain patient confidentiality according to all applicable laws, policies and regulations. Prepares social histories to augment existing services on request. Assists in the identification of unmet needs in the community and makes recommendations to Home Care Nursing Manager and Hospice/Palliative Care Manager. Communicates status, problems, referrals, or assistance provided to the nurse on a regular basis. Assesses a patient's and family's situation and refers financial concerns to community social service agencies. Serves as a liaison to interpret availabl